Provider Demographics
NPI:1083003313
Name:FILS-AIME, KATHLEEN
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:
Last Name:FILS-AIME
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:238 BERRIMAN ST
Mailing Address - Street 2:APT2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11208-2324
Mailing Address - Country:US
Mailing Address - Phone:312-300-9164
Mailing Address - Fax:
Practice Address - Street 1:238 BERRIMAN ST
Practice Address - Street 2:APT2
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11208-2324
Practice Address - Country:US
Practice Address - Phone:312-300-9164
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-09
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY320982-1164W00000X
NY757765163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No164W00000XNursing Service ProvidersLicensed Practical Nurse