National Provider Identifier

Kaitlin Jensen

Kaitlin Jensen is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Kennedy, NY and a listed phone number of (716) 450-9165.

NPI 1790161479Kennedy, NYLicensed Practical Nurse

Profile Overview

NPI
1790161479
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
August 05, 2015
Last Updated
August 05, 2015

Practice Location

  • 12 Acorn St
  • Kennedy, NY 14747-9541

Phone: (716) 450-9165

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1790161479
Entity Type
Individual
Last Name
Jensen
First Name
Kaitlin
Provider Other Last Name
Shelters
Provider Other First Name
Kaitlin
Provider Other Last Name Type Code
1
Mailing Street Address
12 Acorn St
Mailing City
Kennedy
Mailing State
NY
Mailing ZIP Code
14747-9541
Mailing Country
US
Mailing Phone
(716) 450-9165
Practice Street Address
12 Acorn St
Practice City
Kennedy
Practice State
NY
Practice ZIP Code
14747-9541
Practice Country
US
Practice Phone
(716) 450-9165
Enumeration Date
August 05, 2015
Last Updated
August 05, 2015
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)