National Provider Identifier

Kathryn Hettinger, RN

Kathryn Hettinger, RN is listed in the NPPES registry with a primary specialty of General Practice Registered Nurse in Brockport, NY and a listed phone number of (585) 503-4058.

NPI 1104235050Brockport, NYGeneral Practice Registered Nurse

Profile Overview

NPI
1104235050
Provider Type
Individual
Primary Specialty
General Practice Registered Nurse
Enumeration Date
August 05, 2014
Last Updated
August 05, 2014

Practice Location

  • 4538 Sweden Walker RD
  • Brockport, NY 14420-2834

Phone: (585) 503-4058

Specialties

  • General Practice Registered Nurse (163WG0000X)
Full Record
NPI
1104235050
Entity Type
Individual
Last Name
Hettinger
First Name
Kathryn
Credential
RN
Mailing Street Address
4538 Sweden Walker RD
Mailing City
Brockport
Mailing State
NY
Mailing ZIP Code
14420-2834
Mailing Country
US
Mailing Phone
(585) 503-4058
Practice Street Address
4538 Sweden Walker RD
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-2834
Practice Country
US
Practice Phone
(585) 503-4058
Enumeration Date
August 05, 2014
Last Updated
August 05, 2014
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Registered Nurse (163WG0000X)