National Provider Identifier
Kionna Fountain, LPN
Kionna Fountain, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 966-9084.
Profile Overview
- NPI
- 1700437316
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- September 25, 2019
- Last Updated
- September 25, 2019
Practice Location
- 182 Pershing Dr
- Rochester, NY 14609-4119
Phone: (585) 966-9084
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1700437316
- Entity Type
- Individual
- Last Name
- Fountain
- First Name
- Kionna
- Credential
- LPN
- Mailing Street Address
- 182 Pershing Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14609-4119
- Mailing Country
- US
- Practice Street Address
- 182 Pershing Dr
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14609-4119
- Practice Country
- US
- Practice Phone
- (585) 966-9084
- Enumeration Date
- September 25, 2019
- Last Updated
- September 25, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)