National Provider Identifier

Kathleen K Crandall, RN

Kathleen K Crandall, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Elmira, NY and a listed phone number of (607) 732-6507.

NPI 1891911335Elmira, NYRegistered Nurse

Profile Overview

NPI
1891911335
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
April 17, 2007
Last Updated
July 08, 2007

Practice Location

  • 113 Fairmont RD
  • Elmira, NY 14905-2036

Phone: (607) 732-6507

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1891911335
Entity Type
Individual
Last Name
Crandall
First Name
Kathleen
Middle Name
K
Name Prefix
MS.
Credential
RN
Mailing Street Address
113 Fairmont RD
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14905-2036
Mailing Country
US
Mailing Phone
(607) 732-6507
Practice Street Address
113 Fairmont RD
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14905-2036
Practice Country
US
Practice Phone
(607) 732-6507
Enumeration Date
April 17, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)
Other Identifiers
00810095 (NY)