National Provider Identifier

Kim Rodriguez, LPN

Kim Rodriguez, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Canandaigua, NY and a listed phone number of (585) 905-0578.

NPI 1578933941Canandaigua, NYLicensed Practical Nurse

Profile Overview

NPI
1578933941
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
September 29, 2015
Last Updated
September 29, 2015

Practice Location

  • 29 W Gibson St
  • Canandaigua, NY 14424-1411

Phone: (585) 905-0578

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1578933941
Entity Type
Individual
Last Name
Rodriguez
First Name
Kim
Credential
LPN
Mailing Street Address
29 W Gibson St
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-1411
Mailing Country
US
Practice Street Address
29 W Gibson St
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-1411
Practice Country
US
Practice Phone
(585) 905-0578
Enumeration Date
September 29, 2015
Last Updated
September 29, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)