National Provider Identifier

Keone Pilgram, LPN

Keone Pilgram, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 603-7758.

NPI 1659615409Buffalo, NYLicensed Practical Nurse

Profile Overview

NPI
1659615409
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
November 18, 2012
Last Updated
November 18, 2012

Practice Location

  • 102 Dartmouth Ave
  • Buffalo, NY 14215-1006

Phone: (716) 603-7758

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1659615409
Entity Type
Individual
Last Name
Pilgram
First Name
Keone
Name Prefix
Mr.
Credential
LPN
Mailing Street Address
102 Dartmouth Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-1006
Mailing Country
US
Mailing Phone
(716) 603-7758
Practice Street Address
102 Dartmouth Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-1006
Practice Country
US
Practice Phone
(716) 603-7758
Enumeration Date
November 18, 2012
Last Updated
November 18, 2012
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)