National Provider Identifier

Kim Marie Myers

Kim Marie Myers is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Bath, NY and a listed phone number of (607) 346-3546.

NPI 1689915290Bath, NYLicensed Practical Nurse

Profile Overview

NPI
1689915290
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
March 06, 2013
Last Updated
March 06, 2013

Practice Location

  • 5635 Tamarack Ln
  • Bath, NY 14810-9113

Phone: (607) 346-3546

Mailing Address

  • 102 N Main St
  • Jan & Ben'S Home Care
  • Wellsville, NY 14895-1250

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1689915290
Entity Type
Individual
Last Name
Myers
First Name
Kim
Middle Name
Marie
Name Prefix
MS.
Provider Other Last Name
Ames
Provider Other First Name
Kim
Provider Other Middle Name
Marie
Provider Other Name Prefix Text
MS.
Provider Other Credential Text
LPN
Provider Other Last Name Type Code
1
Mailing Street Address
102 N Main St
Mailing Address Line 2
Jan & Ben'S Home Care
Mailing City
Wellsville
Mailing State
NY
Mailing ZIP Code
14895-1250
Mailing Country
US
Mailing Phone
(585) 593-3760
Practice Street Address
5635 Tamarack Ln
Practice City
Bath
Practice State
NY
Practice ZIP Code
14810-9113
Practice Country
US
Practice Phone
(607) 346-3546
Enumeration Date
March 06, 2013
Last Updated
March 06, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)