National Provider Identifier

Kimora Womack, LPN

Kimora Womack, 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) 576-8034.

NPI 1295090298Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1295090298
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
July 06, 2012
Last Updated
July 06, 2012

Practice Location

  • 43 Westgate Ter
  • Rochester, NY 14619-1033

Phone: (585) 576-8034

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1295090298
Entity Type
Individual
Last Name
Womack
First Name
Kimora
Credential
LPN
Mailing Street Address
43 Westgate Ter
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14619-1033
Mailing Country
US
Mailing Phone
(585) 576-8034
Practice Street Address
43 Westgate Ter
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14619-1033
Practice Country
US
Practice Phone
(585) 576-8034
Enumeration Date
July 06, 2012
Last Updated
July 06, 2012
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)