Doctor Name: | MRS. KATHLEEN WALSH MCMUNN |
NPI Number: | 1013284439 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 397480-1 |
Business Practice Address: | 2 Ridgeland Rd Norwich, NY - 138151245 |
Business Phone Number: | 6073341600 |
Business Fax Number: | 6073344193 |
Mailing Address: | 2 Ridgeland Rd, NORWICH |
State: | NY |
Postal Code: | 138151245 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/30/2011 |
NPI Last Update Date: | 11/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 397480-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |