Individual provider · Type 1 NPI

Kathy M. McKillop, PNP

Pediatric Nurse Practitioner · Mineola, NY

NPI number 1801937875 Active

Practice location

120 Mineola Blvd, Suite 210
Mineola, NY 11501-4073

Mailing address

191 Latham Rd
Mineola, NY 11501-2244

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XF380616-1 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1801937875

Kathy M. McKillop, PNP's National Provider Identifier is 1801937875, issued on Feb 10, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Mineola, NY. The record was last updated on Feb 24, 2021.