National Provider Identifier

James Ronald Keagle, LPN

James Ronald Keagle, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in North Rose, NY and a listed phone number of (315) 576-6805.

NPI 1033488739North Rose, NYLicensed Practical Nurse

Profile Overview

NPI
1033488739
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
December 26, 2011
Last Updated
December 26, 2011

Practice Location

  • 10631 Salter RD
  • North Rose, NY 14516-9502

Phone: (315) 576-6805

Mailing Address

  • 10631 Salter RD
  • P.O. Box 7
  • North Rose, NY 14516-9502

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1033488739
Entity Type
Individual
Last Name
Keagle
First Name
James
Middle Name
Ronald
Name Prefix
Mr.
Credential
LPN
Mailing Street Address
10631 Salter RD
Mailing Address Line 2
P.O. Box 7
Mailing City
North Rose
Mailing State
NY
Mailing ZIP Code
14516-9502
Mailing Country
US
Mailing Phone
(315) 576-6805
Practice Street Address
10631 Salter RD
Practice City
North Rose
Practice State
NY
Practice ZIP Code
14516-9502
Practice Country
US
Practice Phone
(315) 576-6805
Practice Fax
(315) 370-8000
Enumeration Date
December 26, 2011
Last Updated
December 26, 2011
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)