Prairie, Kathy Roucek

Prairie, Kathy Roucek is an individual health care provider with primary practice located at 8 Abbey Ct , Clifton Park NY 12065-1626. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Prairie, Kathy Roucek can be contacted via phone (518) 265-4258.

Contact Information

Primary practice address
8 Abbey Ct Clifton Park NY 12065-1626
Phone: (518) 265-4258
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 332059 New York

Profile Details

NPI number 1356924674
LBN Legal business name Prairie, Kathy Roucek
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2021
Last updated May 4th, 2021 - about 3 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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