National Provider Identifier

Kimberly J Dickson, RN

Kimberly J Dickson, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Elmira, NY and a listed phone number of (607) 734-3646.

NPI 1417442476Elmira, NYRegistered Nurse

Profile Overview

NPI
1417442476
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
June 22, 2018
Last Updated
June 22, 2018

Practice Location

  • 319 W Water St
  • Elmira, NY 14901-2914

Phone: (607) 734-3646

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1417442476
Entity Type
Individual
Last Name
Dickson
First Name
Kimberly
Middle Name
J
Name Prefix
Mrs.
Credential
RN
Provider Other Last Name
Priestman
Provider Other First Name
Kimberly
Provider Other Middle Name
J
Provider Other Name Prefix Text
Miss
Provider Other Credential Text
RN
Provider Other Last Name Type Code
1
Mailing Street Address
319 W Water St
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-2914
Mailing Country
US
Mailing Phone
(607) 734-3646
Practice Street Address
319 W Water St
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-2914
Practice Country
US
Practice Phone
(607) 734-3646
Enumeration Date
June 22, 2018
Last Updated
June 22, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)