National Provider Identifier

Kevonna Lynessa Anderson, LPN

Kevonna Lynessa Anderson, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 736-8911.

NPI 1518563535Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1518563535
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
December 06, 2020
Last Updated
December 06, 2020

Practice Location

  • 118 Keller St
  • Rochester, NY 14609-3915

Phone: (585) 736-8911

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1518563535
Entity Type
Individual
Last Name
Anderson
First Name
Kevonna
Middle Name
Lynessa
Credential
LPN
Mailing Street Address
118 Keller St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-3915
Mailing Country
US
Mailing Phone
(585) 736-8911
Practice Street Address
118 Keller St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-3915
Practice Country
US
Practice Phone
(585) 736-8911
Enumeration Date
December 06, 2020
Last Updated
December 06, 2020
Sex
Female
Sole Proprietor
Yes
Certification Date
December 06, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)