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NPI Code Detail

MEDICARE: KATHLEEN P JOKONIS LPN

MEDICARE: KATHLEEN P JOKONIS 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
1164W00000XLicensed Practical Nurse122800-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720236235
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN P JOKONIS LPN
Provider Business Mailing Address
First Line : 88 FOX HOLLOW RD
Second Line :
City : RHINEBECK
State : NY
Zip : 12572-3639
Country : US
Telephone Number : 845-876-6823
Fax Number :
Provider Business Practice Location Address
First Line : 88 FOX HOLLOW RD
Second Line :
City : RHINEBECK
State : NY
Zip : 12572-3639
Country : US
Telephone Number : 845-876-6823
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2008
Last Update Date : 09/09/2008

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