National Provider Identifier

Kathleen Marie Fenton

Kathleen Marie Fenton is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Canandaigua, NY and a listed phone number of (585) 216-7717.

NPI 1912277146Canandaigua, NYLicensed Practical Nurse

Profile Overview

NPI
1912277146
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
January 04, 2012
Last Updated
May 06, 2025

Practice Location

  • 350 Gorham St
  • Canandaigua, NY 14424-1825

Phone: (585) 216-7717

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1912277146
Entity Type
Individual
Last Name
Fenton
First Name
Kathleen
Middle Name
Marie
Name Prefix
Mrs.
Mailing Street Address
350 Gorham St
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-1825
Mailing Country
US
Mailing Phone
(585) 216-7717
Practice Street Address
350 Gorham St
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-1825
Practice Country
US
Practice Phone
(585) 216-7717
Enumeration Date
January 04, 2012
Last Updated
May 06, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
May 06, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)