National Provider Identifier
Kimberly Stoutenburg
Kimberly Stoutenburg is listed in the NPPES registry with a primary specialty of Registered Nurse in Canandaigua, NY and a listed phone number of (585) 394-6090.
Profile Overview
- NPI
- 1073779385
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- August 06, 2008
- Last Updated
- August 06, 2008
Practice Location
- 5297 Parkside Dr
- Canandaigua, NY 14424-7504
Phone: (585) 394-6090
Mailing Address
- 12 Glenbrook Dr
- Fairport, NY 14450-2238
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1073779385
- Entity Type
- Individual
- Last Name
- Stoutenburg
- First Name
- Kimberly
- Mailing Street Address
- 12 Glenbrook Dr
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-2238
- Mailing Country
- US
- Practice Street Address
- 5297 Parkside Dr
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-7504
- Practice Country
- US
- Practice Phone
- (585) 394-6090
- Enumeration Date
- August 06, 2008
- Last Updated
- August 06, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)