National Provider Identifier

Kimberly Condoluci

Kimberly Condoluci is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 645-8538.

NPI 1073149282Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1073149282
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
March 19, 2020
Last Updated
March 19, 2020

Practice Location

  • 307 Picturesque Dr
  • Rochester, NY 14616-1001

Phone: (585) 645-8538

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1073149282
Entity Type
Individual
Last Name
Condoluci
First Name
Kimberly
Mailing Street Address
307 Picturesque Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14616-1001
Mailing Country
US
Mailing Phone
(585) 645-8538
Practice Street Address
307 Picturesque Dr
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14616-1001
Practice Country
US
Practice Phone
(585) 645-8538
Enumeration Date
March 19, 2020
Last Updated
March 19, 2020
Sex
Female
Sole Proprietor
Yes
Certification Date
March 19, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)