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NPI Code Detail

MEDICARE: KATHY LYNN HERRON CNM

MEDICARE: KATHY LYNN HERRON CNM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367A00000XAdvanced Practice MidwifeF000334NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255333571
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHY LYNN HERRON CNM
Provider Business Mailing Address
First Line : 30 MARTLING AVE
Second Line :
City : PLEASANTVILLE
State : NY
Zip : 10570-3133
Country : US
Telephone Number : 914-741-2283
Fax Number : 914-741-6741
Provider Business Practice Location Address
First Line : 1241 MAMARONECK AVE
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10605-5201
Country : US
Telephone Number : 914-421-1500
Fax Number : 914-421-1501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 07/08/2007

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