Mcdonnell, Kathryn M

Mcdonnell, Kathryn M is an individual health care provider with primary practice located at 1291 Boston Post Rd Suite 105, Madison CT 06443-3476. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mcdonnell, Kathryn M can be contacted via phone (203) 245-1413.

Contact Information

Primary practice address
1291 Boston Post Rd Suite 105 Madison CT 06443-3476
Fax: (860) 358-8655
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 002139 Connecticut

Profile Details

NPI number 1649357807
LBN Legal business name Mcdonnell, Kathryn M
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Apr 12th, 2017 - about 8 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 1649357807 NPPES
Connecticut MEDICAID 4201092

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