Provider Demographics
NPI:1689950818
Name:KIRWAN, KARYN ANNE (RN)
Entity Type:Individual
Prefix:MRS
First Name:KARYN
Middle Name:ANNE
Last Name:KIRWAN
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 1:195 E BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13126-2210
Mailing Address - Country:US
Mailing Address - Phone:315-341-2442
Mailing Address - Fax:315-341-2910
Practice Address - Street 1:195 E BRIDGE ST
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:NY
Practice Address - Zip Code:13126-2210
Practice Address - Country:US
Practice Address - Phone:315-341-2442
Practice Address - Fax:315-341-2910
Is Sole Proprietor?:No
Enumeration Date:2011-11-02
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY491545-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse