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General NPI Number Information
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NPI Number | 1285173450
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Entity Type | Organization
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Legal Business Name | KATHLEEN E. KEARNEY MD PC
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Dates
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Enumeration Date | 02/21/2017
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Last Update Date | 03/31/2021
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Provider Practice Location Address
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Address Line | 3127 41ST ST
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City | ASTORIA
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State | NY
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Zip | 11103-3901
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Country | US
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Telephone | 718-728-3400
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 21417
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City | NEW YORK
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State | NY
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Zip | 10087-1417
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Country | US
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Telephone | 888-783-6291
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Fax | 551-230-6201
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | KATHLEEN E. KEARNEY
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Credential | MD
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Telephone | 718-728-3400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 174369
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License Number State | NY
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