National Provider Identifier

Kadijah L McGowan-Green, LPN

Kadijah L McGowan-Green, 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) 353-1977.

NPI 1851288104Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1851288104
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
June 19, 2025
Last Updated
June 19, 2025

Practice Location

  • 434 Westfield St
  • Rochester, NY 14619-2138

Phone: (585) 353-1977

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1851288104
Entity Type
Individual
Last Name
McGowan-Green
First Name
Kadijah
Middle Name
L
Credential
LPN
Mailing Street Address
434 Westfield St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14619-2138
Mailing Country
US
Mailing Phone
(585) 353-1977
Practice Street Address
434 Westfield St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14619-2138
Practice Country
US
Practice Phone
(585) 353-1977
Enumeration Date
June 19, 2025
Last Updated
June 19, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
June 19, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)