National Provider Identifier
Kimberley K Tiede, LPN
Kimberley K Tiede, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Perry, NY and a listed phone number of (585) 259-6218.
Profile Overview
- NPI
- 1437380136
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- July 30, 2009
- Last Updated
- July 30, 2009
Practice Location
- 2492 Silver Lake RD
- Perry, NY 14530-9622
Phone: (585) 259-6218
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1437380136
- Entity Type
- Individual
- Last Name
- Tiede
- First Name
- Kimberley
- Middle Name
- K
- Credential
- LPN
- Mailing Street Address
- 2492 Silver Lake RD
- Mailing City
- Perry
- Mailing State
- NY
- Mailing ZIP Code
- 14530-9622
- Mailing Country
- US
- Mailing Phone
- (585) 259-6218
- Practice Street Address
- 2492 Silver Lake RD
- Practice City
- Perry
- Practice State
- NY
- Practice ZIP Code
- 14530-9622
- Practice Country
- US
- Practice Phone
- (585) 259-6218
- Enumeration Date
- July 30, 2009
- Last Updated
- July 30, 2009
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)