Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katie Kilgannon

Individual provider Specialist · NPI 1982157954

Katie Kilgannon is a Specialist in Staten Island, New York. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

121 McBaine Ave
Staten Island, NY 10309-1610
Phone: (718) 948-6366
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1982157954
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 26, 2016
Last updated in NPPESJuly 26, 2016

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