National Provider Identifier

Rebecca Lynn Klos, LPN

Rebecca Lynn Klos, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Middleport, NY and a listed phone number of (585) 955-3472.

NPI 1487998860Middleport, NYLicensed Practical Nurse

Profile Overview

NPI
1487998860
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
November 25, 2012
Last Updated
November 25, 2012

Practice Location

  • 6 Washington St
  • Middleport, NY 14105-1109

Phone: (585) 955-3472

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1487998860
Entity Type
Individual
Last Name
Klos
First Name
Rebecca
Middle Name
Lynn
Name Prefix
Mrs.
Credential
LPN
Provider Other Last Name
Jones
Provider Other First Name
Rebecca
Provider Other Middle Name
Lynn
Provider Other Name Prefix Text
Miss
Provider Other Last Name Type Code
1
Mailing Street Address
6 Washington St
Mailing City
Middleport
Mailing State
NY
Mailing ZIP Code
14105-1109
Mailing Country
US
Mailing Phone
(585) 955-3472
Practice Street Address
6 Washington St
Practice City
Middleport
Practice State
NY
Practice ZIP Code
14105-1109
Practice Country
US
Practice Phone
(585) 955-3472
Enumeration Date
November 25, 2012
Last Updated
November 25, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)