Individual provider · Type 1 NPI
Kathryn Hettinger, RN
General Practice Registered Nurse · Brockport, NY
NPI number
1104235050
Active
Practice location
4538 Sweden Walker Rd
Brockport, NY 14420-2834
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 495291-1 (NY) |
General Practice Registered Nurse: Definition to come...
About NPI 1104235050
Kathryn Hettinger, RN's National Provider Identifier is 1104235050, issued on Aug 5, 2014. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Brockport, NY. The record was last updated on Aug 5, 2014.