Wall, Kathryn A.

Wall, Kathryn A. is an individual health care provider with primary practice located at 190 Rt. 31 Ste. 100, Flemington NJ 08822. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Wall, Kathryn A. can be contacted via phone (908) 788-6654.

Contact Information

Primary practice address
190 Rt. 31 Ste. 100 Flemington NJ 08822
Phone: (908) 788-6654
Fax: (908) 788-6452
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NJ00310900 New Jersey

Profile Details

NPI number 1083986251
LBN Legal business name Wall, Kathryn A.
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2012
Last updated Aug 5th, 2015 - about 9 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 1083986251 NPPES
New Jersey MEDICAID 311081

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