National Provider Identifier

Kim Ellen Bush, LPN

Kim Ellen Bush, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 286-0370.

NPI 1124276738Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1124276738
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
September 08, 2008
Last Updated
September 08, 2008

Practice Location

  • 513 Conkey Ave Apt 2
  • Rochester, NY 14621-3101

Phone: (585) 286-0370

Mailing Address

  • 513 Conkey Ave Apt 2
  • Rochester, NY 14621

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1124276738
Entity Type
Individual
Last Name
Bush
First Name
Kim
Middle Name
Ellen
Name Prefix
MS.
Credential
LPN
Mailing Street Address
513 Conkey Ave Apt 2
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621
Mailing Country
US
Mailing Phone
(585) 286-0370
Practice Street Address
513 Conkey Ave Apt 2
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3101
Practice Country
US
Practice Phone
(585) 286-0370
Enumeration Date
September 08, 2008
Last Updated
September 08, 2008
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)