National Provider Identifier
Kassandra Michelle Mack, LPN
Kassandra Michelle Mack, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Cheektowaga, NY and a listed phone number of (716) 986-1006.
Profile Overview
- NPI
- 1134483498
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- July 01, 2012
- Last Updated
- July 01, 2012
Practice Location
- 11 Windwood Cts
- Cheektowaga, NY 14225-2573
Phone: (716) 986-1006
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1134483498
- Entity Type
- Individual
- Last Name
- Mack
- First Name
- Kassandra
- Middle Name
- Michelle
- Credential
- LPN
- Mailing Street Address
- 11 Windwood Cts
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14225-2573
- Mailing Country
- US
- Mailing Phone
- (716) 986-1006
- Practice Street Address
- 11 Windwood Cts
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14225-2573
- Practice Country
- US
- Practice Phone
- (716) 986-1006
- Enumeration Date
- July 01, 2012
- Last Updated
- July 01, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)