Parker, Kathleen Rose

Parker, Kathleen Rose is an individual health care provider with primary practice located at 1555 Long Pond Rd , Rochester NY 14626-4122. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Parker, Kathleen Rose can be contacted via phone (585) 368-4012.

Contact Information

Primary practice address
1555 Long Pond Rd Rochester NY 14626-4122
Phone: (585) 368-4012
Fax: (585) 723-7470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 380878-1 New York

Profile Details

NPI number 1316944770
LBN Legal business name Parker, Kathleen Rose
Credentials RN, PNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Dec 22nd, 2022 - about 2 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 1316944770 NPPES
Other 9512159 IHA
MEDICAID 01877861 IHA
Other 000560245002 IHA
Other NP0052 IHA

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