National Provider Identifier

Kimberley Catherine Banas

Kimberley Catherine Banas is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Grand Island, NY and a listed phone number of (716) 930-9313.

NPI 1487122875Grand Island, NYLicensed Practical Nurse

Profile Overview

NPI
1487122875
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
November 05, 2018
Last Updated
November 05, 2018

Practice Location

  • 552 East River RD
  • Grand Island, NY 14072

Phone: (716) 930-9313

Mailing Address

  • 552 E River RD
  • Grand Island, NY 14072-2923

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1487122875
Entity Type
Individual
Last Name
Banas
First Name
Kimberley
Middle Name
Catherine
Mailing Street Address
552 E River RD
Mailing City
Grand Island
Mailing State
NY
Mailing ZIP Code
14072-2923
Mailing Country
US
Mailing Phone
(716) 930-9313
Practice Street Address
552 East River RD
Practice City
Grand Island
Practice State
NY
Practice ZIP Code
14072
Practice Country
US
Practice Phone
(716) 930-9313
Enumeration Date
November 05, 2018
Last Updated
November 05, 2018
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)
Other Identifiers
333731 (NY)