National Provider Identifier

Kimberly Anne Ellis, R.N.

Kimberly Anne Ellis, R.N. is listed in the NPPES registry with a primary specialty of Registered Nurse in Rochester, NY and a listed phone number of (585) 305-6267.

NPI 1619004413Rochester, NYRegistered Nurse

Profile Overview

NPI
1619004413
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
February 27, 2007
Last Updated
July 02, 2013

Practice Location

  • 155 Cloverdale RD
  • Rochester, NY 14616-3254

Phone: (585) 305-6267

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1619004413
Entity Type
Individual
Last Name
Ellis
First Name
Kimberly
Middle Name
Anne
Name Prefix
Mrs.
Credential
R.N.
Mailing Street Address
155 Cloverdale RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14616-3254
Mailing Country
US
Mailing Phone
(585) 305-6267
Practice Street Address
155 Cloverdale RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14616-3254
Practice Country
US
Practice Phone
(585) 305-6267
Enumeration Date
February 27, 2007
Last Updated
July 02, 2013
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)