Doctor Name: | MRS. KATHRYN J. MCDONNELL |
NPI Number: | 1003243544 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DNP, FNP-BC |
License Number: | F338149 |
Business Practice Address: | 21 Fox St Ste 102 Eriver Neurology Of Ny, Llc Poughkeepsie, NY - 126014723 |
Business Phone Number: | 8454529750 |
Business Fax Number: | 8454529751 |
Mailing Address: | 21 Fox St Ste 102, Eriver Neurology Of Ny, Llc POUGHKEEPSIE |
State: | NY |
Postal Code: | 126014723 |
Phone Number: | 8454529750 |
Fax Number: | 8454529751 |
NPI Enumeration Date: | 09/30/2013 |
NPI Last Update Date: | 10/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F338149 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |