National Provider Identifier
Kimberly Nicole Chadderdon
Kimberly Nicole Chadderdon is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator in Rochester, NY and a listed phone number of (585) 352-7775.
Profile Overview
- NPI
- 1750813788
- Provider Type
- Individual
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- March 29, 2017
- Last Updated
- March 29, 2017
Practice Location
- 50 Vantage Point Dr
- Rochester, NY 14624-1180
Phone: (585) 352-7775
Mailing Address
- 50 Vantage Point Drive
- Rochester, NY 14624
Specialties
- Case Manager/Care Coordinator (171M00000X)
Full Record
- NPI
- 1750813788
- Entity Type
- Individual
- Last Name
- Chadderdon
- First Name
- Kimberly
- Middle Name
- Nicole
- Provider Other Last Name
- Chadderdon
- Provider Other First Name
- Kimberly
- Provider Other Middle Name
- Nicole
- Provider Other Name Prefix Text
- Miss
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 50 Vantage Point Drive
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14624
- Mailing Country
- US
- Mailing Phone
- (585) 352-7775
- Mailing Fax
- (585) 352-7879
- Practice Street Address
- 50 Vantage Point Dr
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14624-1180
- Practice Country
- US
- Practice Phone
- (585) 352-7775
- Practice Fax
- (585) 352-7879
- Enumeration Date
- March 29, 2017
- Last Updated
- March 29, 2017
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Case Manager/Care Coordinator (171M00000X)