National Provider Identifier

Kelly Brimacomb, LPN

Kelly Brimacomb, 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) 451-0045.

NPI 1376832568Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1376832568
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
March 29, 2011
Last Updated
March 29, 2011

Practice Location

  • 104 Afton St
  • Rochester, NY 14612-5104

Phone: (585) 451-0045

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1376832568
Entity Type
Individual
Last Name
Brimacomb
First Name
Kelly
Credential
LPN
Mailing Street Address
104 Afton St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14612-5104
Mailing Country
US
Mailing Phone
(585) 451-0045
Practice Street Address
104 Afton St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14612-5104
Practice Country
US
Practice Phone
(585) 451-0045
Enumeration Date
March 29, 2011
Last Updated
March 29, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)