Mcintosh, Kathleen T

Mcintosh, Kathleen T is an individual health care provider with primary practice located at 601 Elmwood Ave , Rochester NY 14642-0002. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Mcintosh, Kathleen T can be contacted via phone (585) 276-4299.

Contact Information

Primary practice address
601 Elmwood Ave Rochester NY 14642-0002
Phone: (585) 276-4299
Fax: (585) 276-2533
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 333692 New York
Nursing Service Providers / Registered Nurse 163W00000X 366284 New York

Profile Details

NPI number 1093751885
LBN Legal business name Mcintosh, Kathleen T
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Aug 26th, 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 1093751885 NPPES
New York MEDICAID 02460002

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