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NPI Code Detail

MEDICARE: KINGSLEY BARNIE LPN

MEDICARE: KINGSLEY BARNIE 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 Nurse312827NY

General Provider Information

NPI Number : 1841535523
Entity Type Code : Individual
Provider Name (Legal Business Name) : KINGSLEY BARNIE LPN
Provider Business Mailing Address
First Line : 43 MASON ST
Second Line :
City : ROCHESTER
State : NY
Zip : 14613-2013
Country : US
Telephone Number : 404-454-4631
Fax Number :
Provider Business Practice Location Address
First Line : 43 MASON ST
Second Line :
City : ROCHESTER
State : NY
Zip : 14613-2013
Country : US
Telephone Number : 404-454-4631
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2012
Last Update Date : 12/06/2012

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Directions to “ KINGSLEY BARNIE LPN” Practice Location

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