Provider Demographics
NPI:1295242162
Name:NETTNIN, KARA M
Entity type:Individual
Prefix:MRS
First Name:KARA
Middle Name:M
Last Name:NETTNIN
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 1:2075 SCOTTSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-2021
Mailing Address - Country:US
Mailing Address - Phone:585-429-2978
Mailing Address - Fax:
Practice Address - Street 1:2075 SCOTTSVILLE RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-2021
Practice Address - Country:US
Practice Address - Phone:585-429-2978
Practice Address - Fax:585-429-2806
Is Sole Proprietor?:No
Enumeration Date:2018-01-02
Last Update Date:2018-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant