| Doctor Name: | MRS. KATHLEEN ANN CONNOLLY |
| NPI Number: | 1013111947 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 26RN01698900 |
| Business Practice Address: | 393 Main St Paterson, NJ - 075012815 |
| Business Phone Number: | 9735236220 |
| Business Fax Number: | 9738257201 |
| Mailing Address: | 6 Stockton Rd, NORTH HALEDON |
| State: | NJ |
| Postal Code: | 075082716 |
| Phone Number: | 9734271820 |
| Fax Number: | |
| NPI Enumeration Date: | 06/13/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 26RN01698900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |