| Doctor Name: | MRS. KATHRYN VIOLET EDWARDS |
| NPI Number: | 1407093529 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, CPNP |
| License Number: | F381979 |
| Business Practice Address: | 22 Red Jacket St Dansville, NY - 144379502 |
| Business Phone Number: | 5853355200 |
| Business Fax Number: | 5853355037 |
| Mailing Address: | 22 Red Jacket St, P.o. Box 499 DANSVILLE |
| State: | NY |
| Postal Code: | 144379502 |
| Phone Number: | 5853355200 |
| Fax Number: | 5853355037 |
| NPI Enumeration Date: | 01/12/2009 |
| NPI Last Update Date: | 11/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0200X |
| License Number: | F381979 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |