National Provider Identifier

Kaneisha Miller Gray, RN

Kaneisha Miller Gray, RN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 733-7616.

NPI 1164886198Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1164886198
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
April 06, 2016
Last Updated
January 24, 2024

Practice Location

  • 55 Vinedale Ave
  • Rochester, NY 14622-2525

Phone: (585) 733-7616

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1164886198
Entity Type
Individual
Last Name
Miller Gray
First Name
Kaneisha
Name Prefix
Mrs.
Credential
RN
Mailing Street Address
55 Vinedale Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14622-2525
Mailing Country
US
Mailing Phone
(585) 733-7616
Practice Street Address
55 Vinedale Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14622-2525
Practice Country
US
Practice Phone
(585) 733-7616
Enumeration Date
April 06, 2016
Last Updated
January 24, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
January 24, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)