MEDICARE: KELLY BRIMACOMB LPN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	301234-1	NY

General Provider Information

NPI Number	:	1376832568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLY BRIMACOMB LPN

Provider Business Mailing Address
First Line	:	104 AFTON ST
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14612-5104
Country	:	US
Telephone Number	:	585-451-0045
Fax Number	:

Provider Business Practice Location Address
First Line	:	104 AFTON ST
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14612-5104
Country	:	US
Telephone Number	:	585-451-0045
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2011
Last Update Date	:	03/29/2011

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