National Provider Identifier
Kathryn Anesa Bennett, PNP
Kathryn Anesa Bennett, PNP is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Dansville, NY and a listed phone number of (585) 335-5200.
Source: public NPPES record, last updated April 28, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1710546924
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- June 11, 2019
- Last Updated
- April 28, 2021
Practice Location
- 22 Red Jacket Street
- Dansville, NY 14437-0491
Phone: (585) 335-5200
Mailing Address
- PO Box 499
- 22 Red Jacket Street
- Dansville, NY 14437-0491
Specialties
- Pediatrics Physician (208000000X)
- Pediatric Nurse Practitioner (363LP0200X)
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Biography
Kathryn Bennett is a board-certified pediatric nurse practitioner with Stony Brook Pediatrics in the Dansville and Geneseo area. She first joined the practice as a registered nurse in 2016, earned her bachelor’s degree in nursing from Alfred State University and her master’s degree from SUNY Upstate Medical University, then continued with Stony Brook Pediatrics as a pediatric nurse practitioner in 2019.
Full Record
- NPI
- 1710546924
- Entity Type
- Individual
- Last Name
- Bennett
- First Name
- Kathryn
- Middle Name
- Anesa
- Name Prefix
- MS.
- Credential
- PNP
- Provider Other Last Name
- Faulkner
- Provider Other First Name
- Kathryn
- Provider Other Middle Name
- Anesa
- Provider Other Credential Text
- PNP
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- PO Box 499
- Mailing Address Line 2
- 22 Red Jacket Street
- Mailing City
- Dansville
- Mailing State
- NY
- Mailing ZIP Code
- 14437-0491
- Mailing Country
- US
- Mailing Phone
- (585) 335-5200
- Mailing Fax
- (585) 335-5037
- Practice Street Address
- 22 Red Jacket Street
- Practice City
- Dansville
- Practice State
- NY
- Practice ZIP Code
- 14437-0491
- Practice Country
- US
- Practice Phone
- (585) 335-5200
- Practice Fax
- (585) 335-5037
- Enumeration Date
- June 11, 2019
- Last Updated
- April 28, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 28, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X), Pediatric Nurse Practitioner (363LP0200X)