MISS ALYSE RENEE KICKBUSH LPN
NPI 1427424662
Licensed Practical Nurse in Conewango Valley, NY
- Individual
- Female
- Licensed Practical Nurse
About ALYSE KICKBUSH
This page provides the complete NPI Profile along with additional information for Alyse Kickbush, a provider established in Conewango Valley, New York with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1427424662 assigned on August 2015. The practitioner's primary taxonomy code is 164W00000X with license number 322718 (NY). The provider is registered as an individual and her NPI record was last updated 11 years ago.
- NPI
- 1427424662 Verify this NPI
- Provider Name
- MISS ALYSE RENEE KICKBUSH LPN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5165 ROUTE 62 CONEWANGO VALLEY, NY 14726
- Location Phone
- (716) 352-1593
- Mailing Address
- 5165 ROUTE 62 CONEWANGO VALLEY, NY 14726
- Mailing Phone
- (716) 352-1593
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-11-2015
- Last Update Date
- 08-11-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- 322718
- License State
- NY
- Taxonomy Description
- A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427424662, enumerated as an "individual" on August 11, 2015.
The provider is located at 5165 ROUTE 62 CONEWANGO VALLEY, NY 14726 and the phone number is (716) 352-1593.
Licensed Practical Nurse with taxonomy code 164W00000X.
