National Provider Identifier
Gloria Jean Keitt I, LICENSED NURSE
Gloria Jean Keitt I, LICENSED NURSE is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 546-4508.
Profile Overview
- NPI
- 1154515799
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- August 28, 2007
- Last Updated
- August 28, 2007
Practice Location
- 14 Weeger Street
- Rochester, NY 14605
Phone: (585) 546-4508
Mailing Address
- 14 Weeger St
- Rochester, NY 14605-1350
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1154515799
- Entity Type
- Individual
- Last Name
- Keitt
- First Name
- Gloria
- Middle Name
- Jean
- Name Prefix
- Miss
- Name Suffix
- I
- Credential
- LICENSED NURSE
- Mailing Street Address
- 14 Weeger St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14605-1350
- Mailing Country
- US
- Mailing Phone
- (585) 546-4508
- Practice Street Address
- 14 Weeger Street
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14605
- Practice Country
- US
- Practice Phone
- (585) 546-4508
- Enumeration Date
- August 28, 2007
- Last Updated
- August 28, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)