Provider Demographics
NPI:1316193709
Name:KILINSKI, JENNIFER LYNN (MT-BC, NICU-MT, LCAT)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:LYNN
Last Name:KILINSKI
Suffix:
Gender:F
Credentials:MT-BC, NICU-MT, LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:595 NEW LOUDON RD
Mailing Address - Street 2:152
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-4026
Mailing Address - Country:US
Mailing Address - Phone:518-229-3357
Mailing Address - Fax:
Practice Address - Street 1:595 NEW LOUDON RD
Practice Address - Street 2:152
Practice Address - City:LATHAM
Practice Address - State:NY
Practice Address - Zip Code:12110-4026
Practice Address - Country:US
Practice Address - Phone:518-229-3357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-18
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000161171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor