National Provider Identifier

Kevonn Gay

Kevonn Gay is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Jamestown, NY and a listed phone number of (716) 487-1131.

NPI 1578905311Jamestown, NYLicensed Practical Nurse

Profile Overview

NPI
1578905311
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
July 22, 2013
Last Updated
July 22, 2013

Practice Location

  • 220 Fluvanna Ave
  • Jamestown, NY 14701-2051

Phone: (716) 487-1131

Mailing Address

  • 300 Lakeview Ave
  • Jamestown, NY 14701-3347

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1578905311
Entity Type
Individual
Last Name
Gay
First Name
Kevonn
Mailing Street Address
300 Lakeview Ave
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701-3347
Mailing Country
US
Practice Street Address
220 Fluvanna Ave
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-2051
Practice Country
US
Practice Phone
(716) 487-1131
Enumeration Date
July 22, 2013
Last Updated
July 22, 2013
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)