National Provider Identifier
Kathleen Bacon, LPN
Kathleen Bacon, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Cheektowaga, NY and a listed phone number of (716) 894-7777.
Profile Overview
- NPI
- 1518194414
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- June 18, 2009
- Last Updated
- June 18, 2009
Practice Location
- 1680 Walden Ave
- Cheektowaga, NY 14225-4914
Phone: (716) 894-7777
Mailing Address
- S 5820 Diana Ln
- Lakeview, NY 14085
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1518194414
- Entity Type
- Individual
- Last Name
- Bacon
- First Name
- Kathleen
- Credential
- LPN
- Mailing Street Address
- S 5820 Diana Ln
- Mailing City
- Lakeview
- Mailing State
- NY
- Mailing ZIP Code
- 14085
- Mailing Country
- US
- Mailing Phone
- (716) 627-2821
- Practice Street Address
- 1680 Walden Ave
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14225-4914
- Practice Country
- US
- Practice Phone
- (716) 894-7777
- Practice Fax
- (716) 894-0604
- Enumeration Date
- June 18, 2009
- Last Updated
- June 18, 2009
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)