National Provider Identifier

Kenneth Fettinger, RN

Kenneth Fettinger, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Irondequoit, NY and a listed phone number of (585) 764-0508.

NPI 1477925303Irondequoit, NYRegistered Nurse

Profile Overview

NPI
1477925303
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
October 30, 2015
Last Updated
October 30, 2015

Practice Location

  • 119 Hillhurst Ln
  • Irondequoit, NY 14617-1909

Phone: (585) 764-0508

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1477925303
Entity Type
Individual
Last Name
Fettinger
First Name
Kenneth
Credential
RN
Mailing Street Address
119 Hillhurst Ln
Mailing City
Irondequoit
Mailing State
NY
Mailing ZIP Code
14617-1909
Mailing Country
US
Mailing Phone
(585) 764-0508
Practice Street Address
119 Hillhurst Ln
Practice City
Irondequoit
Practice State
NY
Practice ZIP Code
14617-1909
Practice Country
US
Practice Phone
(585) 764-0508
Enumeration Date
October 30, 2015
Last Updated
October 30, 2015
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)