Lynch, Kathleen M

Lynch, Kathleen M is an sole proprietor health care provider with primary practice located at 512 Towne Dr , Fayetteville NY 13066-1331. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Lynch, Kathleen M can be contacted via phone (315) 637-5500.

Contact Information

Primary practice address
512 Towne Dr Fayetteville NY 13066-1331
Fax: (315) 637-5588
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X N004991 New York

Profile Details

NPI number 1134179740
LBN Legal business name Lynch, Kathleen M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2006
Last updated Jan 27th, 2010 - 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 1134179740 NPPES
New York MEDICAID 01680491

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