Kirker, Kathleen Ann

Kirker, Kathleen Ann is an individual health care provider with primary practice located at 200 North St Ste 101 , Geneva NY 14456. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kirker, Kathleen Ann can be contacted via phone (315) 787-5100.

Contact Information

Primary practice address
200 North St Ste 101 Geneva NY 14456
Fax: (315) 787-5151
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 335991 New York

Profile Details

NPI number 1861621765
LBN Legal business name Kirker, Kathleen Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2009
Last updated Aug 29th, 2019 - about 5 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 1861621765 NPPES
New York Other J400042214 MEDICARE PTAN

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