National Provider Identifier

Keera Kewonda Moenay Phillips

Keera Kewonda Moenay Phillips is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in West Henrietta, NY and a listed phone number of (585) 851-2059.

NPI 1952182289West Henrietta, NYLicensed Practical Nurse

Profile Overview

NPI
1952182289
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
October 12, 2023
Last Updated
October 12, 2023

Practice Location

  • 3948 East River RD
  • West Henrietta, NY 14586

Phone: (585) 851-2059

Mailing Address

  • 3948 East River RD
  • 6311
  • West Henrietta, NY 14586

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1952182289
Entity Type
Individual
Last Name
Phillips
First Name
Keera
Middle Name
Kewonda Moenay
Name Prefix
Miss
Mailing Street Address
3948 East River RD
Mailing Address Line 2
6311
Mailing City
West Henrietta
Mailing State
NY
Mailing ZIP Code
14586
Mailing Country
US
Mailing Phone
(585) 851-2059
Practice Street Address
3948 East River RD
Practice City
West Henrietta
Practice State
NY
Practice ZIP Code
14586
Practice Country
US
Practice Phone
(585) 851-2059
Enumeration Date
October 12, 2023
Last Updated
October 12, 2023
Sex
Female
Sole Proprietor
No
Certification Date
October 10, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)