KIM HOLCOMB
NPI 1164904025
Registered Nurse in Port Jervis, NY

Active since September 06, 2018
15 SULLIVAN AVE, PORT JERVIS, NY 12771(718) 828-2666 Get Directions Write a Review

NPPES record last updated: September 6, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kim Holcomb NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM HOLCOMB (NPI 1164904025) is an individual registered nurse in Port Jervis, New York, licensed in New York (695152) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1164904025
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameKIM HOLCOMB
Location Address15 SULLIVAN AVEPort Jervis, NY 12771-1616
Mailing Address15 Sullivan AvePort Jervis, NY 12771-1616 · (718) 828-2666
Sole ProprietorYes
Enumeration DateSeptember 6, 2018
NPI 1164904025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in NY · 695152
Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

15 SULLIVAN AVE, Port Jervis, NY 12771

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164904025, enumerated as an "individual" on September 06, 2018.

The provider is located at 15 SULLIVAN AVE PORT JERVIS, NY 12771 and the phone number is (718) 828-2666.

Registered Nurse with taxonomy code 163W00000X.