National Provider Identifier
Kim M Raczkowski
Kim M Raczkowski is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Kenmore, NY and a listed phone number of (716) 873-2826.
Profile Overview
- NPI
- 1124499918
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- October 19, 2015
- Last Updated
- October 19, 2015
Practice Location
- 67 Victoria Blvd
- Kenmore, NY 14217-2313
Phone: (716) 873-2826
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1124499918
- Entity Type
- Individual
- Last Name
- Raczkowski
- First Name
- Kim
- Middle Name
- M
- Mailing Street Address
- 67 Victoria Blvd
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217-2313
- Mailing Country
- US
- Mailing Phone
- (716) 873-2826
- Practice Street Address
- 67 Victoria Blvd
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-2313
- Practice Country
- US
- Practice Phone
- (716) 873-2826
- Enumeration Date
- October 19, 2015
- Last Updated
- October 19, 2015
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)