Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | F338149 | NY |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | F403700-01 | NY |
NPI | 1003243544 |
---|---|
Provider Name | Ms. Kathryn J. Mcdonnell |
First Address | Katonah, NY 10536-3549 |
Second Address | Katonah, NY 10536-3549 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2013 |
Last Update Date | 16/09/2021 |