National Provider Identifier
Kimberly R Peckham, FNP, NPP
Kimberly R Peckham, FNP, NPP is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Olean, NY and a listed phone number of (716) 372-9344.
Profile Overview
- NPI
- 1174554430
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Enumeration Date
- July 05, 2006
- Last Updated
- November 12, 2025
Practice Location
- 2646 W State St
- Olean, NY 14760-1866
Phone: (716) 372-9344
Specialties
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
- Specialist (174400000X)
Full Record
- NPI
- 1174554430
- Entity Type
- Individual
- Last Name
- Peckham
- First Name
- Kimberly
- Middle Name
- R
- Credential
- FNP, NPP
- Mailing Street Address
- 2646 W State St
- Mailing City
- Olean
- Mailing State
- NY
- Mailing ZIP Code
- 14760-1866
- Mailing Country
- US
- Mailing Phone
- (716) 372-9344
- Mailing Fax
- (716) 372-9497
- Practice Street Address
- 2646 W State St
- Practice City
- Olean
- Practice State
- NY
- Practice ZIP Code
- 14760-1866
- Practice Country
- US
- Practice Phone
- (716) 372-9344
- Practice Fax
- (716) 372-9497
- Enumeration Date
- July 05, 2006
- Last Updated
- November 12, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 12, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X), Specialist (174400000X)
- Other Identifiers
- 02011163 (NY)