National Provider Identifier

Laci N Kenville, LPN

Laci N Kenville, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Newark, NY and a listed phone number of (585) 455-7683.

NPI 1124369293Newark, NYLicensed Practical Nurse

Profile Overview

NPI
1124369293
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
March 13, 2013
Last Updated
March 13, 2013

Practice Location

  • 2378 Norsen RD
  • Newark, NY 14513-9309

Phone: (585) 455-7683

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1124369293
Entity Type
Individual
Last Name
Kenville
First Name
Laci
Middle Name
N
Credential
LPN
Mailing Street Address
2378 Norsen RD
Mailing City
Newark
Mailing State
NY
Mailing ZIP Code
14513-9309
Mailing Country
US
Mailing Phone
(585) 455-7683
Practice Street Address
2378 Norsen RD
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-9309
Practice Country
US
Practice Phone
(585) 455-7683
Enumeration Date
March 13, 2013
Last Updated
March 13, 2013
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)