Newfrock, Kathleen Mary

Newfrock, Kathleen Mary is an individual health care provider with primary practice located at 1040 Conklin Rd , Conklin NY 13748-1136. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Newfrock, Kathleen Mary can be contacted via phone (607) 775-9108.

Contact Information

Primary practice address
1040 Conklin Rd Conklin NY 13748-1136
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 512565-1 New York

Profile Details

NPI number 1841550225
LBN Legal business name Newfrock, Kathleen Mary
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2012
Last updated May 21st, 2012 - about 12 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 1841550225 NPPES
New York MEDICAID 01505531

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