National Provider Identifier
Kortney Jo Koterass
Kortney Jo Koterass is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Kennedy, NY and a listed phone number of (716) 490-5282.
Profile Overview
- NPI
- 1457052813
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- March 13, 2023
- Last Updated
- March 13, 2023
Practice Location
- 24B Blue Jay St
- Kennedy, NY 14747-9549
Phone: (716) 490-5282
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1457052813
- Entity Type
- Individual
- Last Name
- Koterass
- First Name
- Kortney
- Middle Name
- Jo
- Mailing Street Address
- 24B Blue Jay St
- Mailing City
- Kennedy
- Mailing State
- NY
- Mailing ZIP Code
- 14747-9549
- Mailing Country
- US
- Mailing Phone
- (716) 490-5282
- Practice Street Address
- 24B Blue Jay St
- Practice City
- Kennedy
- Practice State
- NY
- Practice ZIP Code
- 14747-9549
- Practice Country
- US
- Practice Phone
- (716) 490-5282
- Enumeration Date
- March 13, 2023
- Last Updated
- March 13, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 13, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)