| Doctor Name: | KATHRYN M. PERNICE |
| NPI Number: | 1538383195 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | F4201841 |
| Business Practice Address: | 375 Route 32 Central Valley, NY - 109173201 |
| Business Phone Number: | 8459288185 |
| Business Fax Number: | |
| Mailing Address: | 55 Interlochen Pkwy, MONROE |
| State: | NY |
| Postal Code: | 109501223 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/12/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | F4201841 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |