MISS ALYSE RENEE KICKBUSH LPN
NPI 1427424662
Licensed Practical Nurse in Conewango Valley, NY

Active since August 11, 2015
5165 ROUTE 62, CONEWANGO VALLEY, NY 14726(716) 352-1593 Get Directions Write a Review

NPPES record last updated: August 11, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Alyse Renee Kickbush Lpn NPPES

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

MISS ALYSE RENEE KICKBUSH LPN (NPI 1427424662) is an individual licensed practical nurse in Conewango Valley, New York, licensed in New York (322718) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1427424662
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMISS ALYSE RENEE KICKBUSHCredential: LPN
Location Address5165 ROUTE 62Conewango Valley, NY 14726-9713
Mailing Address5165 Route 62Conewango Valley, NY 14726-9713 · (716) 352-1593
Sole ProprietorYes
Enumeration DateAugust 11, 2015
NPI 1427424662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 322718
Definition
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.
5165 ROUTE 62, Conewango Valley, NY 14726

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alyse Kickbush's NPI number?

The NPI number for Alyse Kickbush is 1427424662. It was assigned to this individual provider in the NPPES registry on August 11, 2015.

Where is Alyse Kickbush located?

Alyse Kickbush practices at 5165 Route 62, Conewango Valley, NY 14726. The listed phone number is (716) 352-1593.

What is Alyse Kickbush's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Alyse Kickbush was last updated on August 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.