National Provider Identifier

Kimberly Whitaker

Kimberly Whitaker is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 230-8598.

NPI 1144096835Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1144096835
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
December 04, 2023
Last Updated
December 04, 2023

Practice Location

  • 953 Stowell Dr
  • Rochester, NY 14616-1851

Phone: (585) 230-8598

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1144096835
Entity Type
Individual
Last Name
Whitaker
First Name
Kimberly
Mailing Street Address
953 Stowell Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14616-1851
Mailing Country
US
Mailing Phone
(585) 230-8598
Practice Street Address
953 Stowell Dr
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14616-1851
Practice Country
US
Practice Phone
(585) 230-8598
Enumeration Date
December 04, 2023
Last Updated
December 04, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
December 04, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)