National Provider Identifier

Kristine Ann Connelly, LPN

Kristine Ann Connelly, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Fairport, NY and a listed phone number of (585) 721-9180.

NPI 1558918433Fairport, NYLicensed Practical Nurse

Profile Overview

NPI
1558918433
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
August 24, 2019
Last Updated
August 24, 2019

Practice Location

  • 41 Frank St
  • Fairport, NY 14450-1442

Phone: (585) 721-9180

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1558918433
Entity Type
Individual
Last Name
Connelly
First Name
Kristine
Middle Name
Ann
Name Prefix
Mrs.
Credential
LPN
Mailing Street Address
41 Frank St
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-1442
Mailing Country
US
Mailing Phone
(585) 721-9180
Practice Street Address
41 Frank St
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-1442
Practice Country
US
Practice Phone
(585) 721-9180
Enumeration Date
August 24, 2019
Last Updated
August 24, 2019
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)