National Provider Identifier

Kasondra Buckner, LPN

Kasondra Buckner, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 766-4781.

NPI 1174138333Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1174138333
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
September 14, 2020
Last Updated
September 14, 2020

Practice Location

  • 412 Rosewood Ter
  • Rochester, NY 14609-4935

Phone: (585) 766-4781

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1174138333
Entity Type
Individual
Last Name
Buckner
First Name
Kasondra
Credential
LPN
Mailing Street Address
412 Rosewood Ter
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-4935
Mailing Country
US
Mailing Phone
(585) 766-4781
Practice Street Address
412 Rosewood Ter
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-4935
Practice Country
US
Practice Phone
(585) 766-4781
Enumeration Date
September 14, 2020
Last Updated
September 14, 2020
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193200000X Multi-Specialty Group
Certification Date
September 14, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)