Active NPIIndividual providerSole proprietor

Katie Kilgannon

Specialist in Staten Island, New York

NPI Number1982157954
Practice location
121 Mcbaine Ave, Staten Island, NY 10309-1610
Fax
—
Last updated
July 26, 2016

Katie Kilgannon is a Specialist based in Staten Island, NY. Katie Kilgannon practices in Staten Island, NY. The NPI Number for Katie Kilgannon is 1982157954. The current practice location address for Katie Kilgannon is 121 Mcbaine Ave, Staten Island, NY 10309-1610 and can be reached out via phone at 718-948-6366.

Provider Profile Details

NPI Number
1982157954
Provider Name
Katie Kilgannon
Provider Entity Type
Individual
Gender
Female
Address
121 Mcbaine Ave, Staten Island, NY 10309-1610
Phone Number
718-948-6366
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
July 26, 2016
Last Update Date
July 26, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
121 Mcbaine Ave
Staten Island, NY 10309-1610
Zip
10309-1610
Phone Number
718-948-6366
Staten Island, NY 10309Get directions →

Provider Business Mailing Address Details

Address
121 Mcbaine Ave
Staten Island, NY 10309-1610
City
Staten Island
State
NY
Zip
10309-1610
Phone Number
718-948-6366

License Information

Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Katie Kilgannon?

The NPI number of Katie Kilgannon is 1982157954. It was assigned on July 26, 2016 and is currently active in the NPPES registry.

What is the specialty of Katie Kilgannon?

Katie Kilgannon is registered under the primary taxonomy Specialist (code 174400000X).

Where does Katie Kilgannon practice?

The practice location is 121 Mcbaine Ave, Staten Island, NY 10309-1610. The office can be reached at 718-948-6366 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1982157954 directly on the NPPES registry website.

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