Kristen Kirkpatrick, LPN

Individual provider Active NPI Licensed Practical Nurse · Sanborn, NY

NPI 1003309949 · NPPES record last updated Sep 4, 2023

Key facts

NPI
1003309949
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
332136 (NY)
Practice address
5180 Townline Rd
Sanborn, NY 14132-9304
Phone
(716) 628-9142
NPI assigned
Jun 13, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
332136NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 332136 NY Yes

Addresses

Primary practice location

5180 Townline Rd
Sanborn, NY 14132-9304

Mailing address

4045 Dickersonville Rd
Ransomville, NY 14131-9791
Phone (716) 266-7303

Other providers in Sanborn, NY

All providers in Sanborn, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.