Kilcullen, Patricia Stork

Kilcullen, Patricia Stork is an individual health care provider with primary practice located at 19 Bradhurst Ave , Hawthorne NY 10532-2140. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Kilcullen, Patricia Stork can be contacted via phone (914) 493-7000.

Contact Information

Primary practice address
19 Bradhurst Ave Hawthorne NY 10532-2140
Phone: (914) 493-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 002016 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F302513-1 New York

Profile Details

NPI number 1316940190
LBN Legal business name Kilcullen, Patricia Stork
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Oct 16th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316940190 NPPES
Connecticut MEDICAID 004247814
Connecticut Other 500001411

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