National Provider Identifier
Alyse Renee Kickbush, LPN
Alyse Renee Kickbush, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Conewango Valley, NY and a listed phone number of (716) 352-1593.
Profile Overview
- NPI
- 1427424662
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- August 11, 2015
- Last Updated
- August 11, 2015
Practice Location
- 5165 Route 62
- Conewango Valley, NY 14726-9713
Phone: (716) 352-1593
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1427424662
- Entity Type
- Individual
- Last Name
- Kickbush
- First Name
- Alyse
- Middle Name
- Renee
- Name Prefix
- Miss
- Credential
- LPN
- Mailing Street Address
- 5165 Route 62
- Mailing City
- Conewango Valley
- Mailing State
- NY
- Mailing ZIP Code
- 14726-9713
- Mailing Country
- US
- Mailing Phone
- (716) 352-1593
- Practice Street Address
- 5165 Route 62
- Practice City
- Conewango Valley
- Practice State
- NY
- Practice ZIP Code
- 14726-9713
- Practice Country
- US
- Practice Phone
- (716) 352-1593
- Enumeration Date
- August 11, 2015
- Last Updated
- August 11, 2015
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)