National Provider Identifier

Kyle Gerould, LPN

Kyle Gerould, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Livonia, NY and a listed phone number of (585) 991-9899.

NPI 1275926479Livonia, NYLicensed Practical Nurse

Profile Overview

NPI
1275926479
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
March 12, 2015
Last Updated
March 12, 2015

Practice Location

  • 6758 Big Tree RD
  • Livonia, NY 14487-9317

Phone: (585) 991-9899

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1275926479
Entity Type
Individual
Last Name
Gerould
First Name
Kyle
Name Prefix
Mr.
Credential
LPN
Mailing Street Address
6758 Big Tree RD
Mailing City
Livonia
Mailing State
NY
Mailing ZIP Code
14487-9317
Mailing Country
US
Mailing Phone
(585) 991-9899
Practice Street Address
6758 Big Tree RD
Practice City
Livonia
Practice State
NY
Practice ZIP Code
14487-9317
Practice Country
US
Practice Phone
(585) 991-9899
Enumeration Date
March 12, 2015
Last Updated
March 12, 2015
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)