Provider Demographics
NPI:1457694028
Name:DUNN, KATHLEEN MCMAHON (MA)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:MCMAHON
Last Name:DUNN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 ROOSEVELT AVE
Mailing Address - Street 2:
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-3408
Mailing Address - Country:US
Mailing Address - Phone:516-717-8486
Mailing Address - Fax:516-593-7226
Practice Address - Street 1:18 ROOSEVELT AVE
Practice Address - Street 2:
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563-3408
Practice Address - Country:US
Practice Address - Phone:516-717-8486
Practice Address - Fax:516-593-7226
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-02
Last Update Date:2013-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist