National Provider Identifier

Kathleen Mae Roberts, LPN

Kathleen Mae Roberts, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Fairport, NY and a listed phone number of (585) 328-3360.

NPI 1447527841Fairport, NYLicensed Practical Nurse

Profile Overview

NPI
1447527841
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
November 30, 2011
Last Updated
November 30, 2011

Practice Location

  • 41 Oconnor RD
  • Fairport, NY 14450-1327

Phone: (585) 328-3360

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1447527841
Entity Type
Individual
Last Name
Roberts
First Name
Kathleen
Middle Name
Mae
Name Prefix
Miss
Credential
LPN
Mailing Street Address
41 Oconnor RD
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-1327
Mailing Country
US
Mailing Phone
(585) 328-3360
Mailing Fax
(585) 794-5029
Practice Street Address
41 Oconnor RD
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-1327
Practice Country
US
Practice Phone
(585) 328-3360
Practice Fax
(585) 794-5029
Enumeration Date
November 30, 2011
Last Updated
November 30, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)
Other Identifiers
164W00000 (NY)