Kirwin, Kathleen Mary

Kirwin, Kathleen Mary is an sole proprietor health care provider with primary practice located at 116 S Main St The Carriage House, Wallingford CT 06492-4217. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Kirwin, Kathleen Mary can be contacted via phone (203) 697-0807.

Contact Information

Primary practice address
116 S Main St The Carriage House Wallingford CT 06492-4217
Fax: (203) 265-3651
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 002756 Connecticut

Profile Details

NPI number 1598797862
LBN Legal business name Kirwin, Kathleen Mary
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2006
Last updated Jul 11th, 2011 - about 14 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 1598797862 NPPES
Connecticut Other 3248477 AETNA
Connecticut Other 5600002756CT2 AETNA

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