Healthcare Provider Details

I. General information

NPI: 1578873295
Provider Name (Legal Business Name): KATHLEEN JANINE FRANSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHLEEN JANINE WARREN RN

II. Dates (important events)

Enumeration Date: 10/15/2010
Last Update Date: 10/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 JOYS LANE
KINGSTON NY
12401
US

IV. Provider business mailing address

P.O. BOX 1082
NAPANOCH NY
12458
US

V. Phone/Fax

Practice location:
  • Phone: 845-647-3829
  • Fax: 845-647-3829
Mailing address:
  • Phone: 845-647-3829
  • Fax: 845-647-3829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number476370
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: