Provider Demographics
NPI:1477864676
Name:FIFIELD, KATHRYN (RN)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:
Last Name:FIFIELD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 UNION CENTER MAINE HWY
Mailing Address - Street 2:
Mailing Address - City:ENDICOTT
Mailing Address - State:NY
Mailing Address - Zip Code:13760-1334
Mailing Address - Country:US
Mailing Address - Phone:607-757-2133
Mailing Address - Fax:607-757-2127
Practice Address - Street 1:1301 UNION CENTER MAINE HWY
Practice Address - Street 2:
Practice Address - City:ENDICOTT
Practice Address - State:NY
Practice Address - Zip Code:13760-1334
Practice Address - Country:US
Practice Address - Phone:607-757-2133
Practice Address - Fax:607-757-2127
Is Sole Proprietor?:No
Enumeration Date:2010-06-23
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY500269163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool