| Doctor Name: | MS. KATHLEEN ANN PEYKAR |
| NPI Number: | 1184771552 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 425475 |
| Business Practice Address: | 60 E Main St Kings Park, NY - 117542710 |
| Business Phone Number: | 6315446005 |
| Business Fax Number: | 6315440982 |
| Mailing Address: | 179 Lakebridge Dr N, KINGS PARK |
| State: | NY |
| Postal Code: | 117543956 |
| Phone Number: | 6312696273 |
| Fax Number: | 6315440982 |
| NPI Enumeration Date: | 01/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | 425475 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |