Most Relevant Information
Provider Data
| NPI Number: | 1003199134 |
| Provider Name: | KATHLEEN ANNE CRIMMINS RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WS0200X |
| Specialty: | Registered Nurse |
| License Number: | 340995 |
Most Important Dates
| Enumeration Date: | 09/26/2011 |
| Last Updated: | 09/26/2011 |
Provider Practice Location
112 RIDGE RD
HORSEHEADS
NY
148451705
Practice Location Phone/Fax
| Phone: | 6077396352 |
| Fax: |
Provider Mailing Location
112 RIDGE RD
HORSEHEADS
NY
148451705
Provider Mailing Phone/Fax
| Phone: | 6077396352 |
| Fax: |