Provider Demographics
NPI:1679348536
Name:PRATT, KATHLEEN M (NP)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:M
Last Name:PRATT
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:601 ELMWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-275-0526
Mailing Address - Fax:585-340-4020
Practice Address - Street 1:1177 E HENRIETTA RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-2616
Practice Address - Country:US
Practice Address - Phone:585-424-4770
Practice Address - Fax:585-424-1922
Is Sole Proprietor?:No
Enumeration Date:2023-11-21
Last Update Date:2024-03-22
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Provider Licenses
StateLicense IDTaxonomies
NY311676363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health