National Provider Identifier
Kaneesha L Underwood
Kaneesha L Underwood is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 363-4360.
Profile Overview
- NPI
- 1295355618
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- April 27, 2020
- Last Updated
- April 27, 2020
Practice Location
- 161 Durnan St
- Rochester, NY 14621-3849
Phone: (585) 363-4360
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1295355618
- Entity Type
- Individual
- Last Name
- Underwood
- First Name
- Kaneesha
- Middle Name
- L
- Mailing Street Address
- 161 Durnan St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3849
- Mailing Country
- US
- Practice Street Address
- 161 Durnan St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3849
- Practice Country
- US
- Practice Phone
- (585) 363-4360
- Enumeration Date
- April 27, 2020
- Last Updated
- April 27, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 27, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)