Provider Demographics
NPI:1215283932
Name:BREHM, KATHLEEN M (RN)
Entity type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:M
Last Name:BREHM
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:70 ROARING BROOK RD
Mailing Address - Street 2:
Mailing Address - City:CHAPPAQUA
Mailing Address - State:NY
Mailing Address - Zip Code:10514-1710
Mailing Address - Country:US
Mailing Address - Phone:914-861-9479
Mailing Address - Fax:914-238-7813
Practice Address - Street 1:70 ROARING BROOK RD
Practice Address - Street 2:
Practice Address - City:CHAPPAQUA
Practice Address - State:NY
Practice Address - Zip Code:10514-1710
Practice Address - Country:US
Practice Address - Phone:914-861-9479
Practice Address - Fax:914-238-7813
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-31
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY477660163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool