KIMBERLEY TRAIL
NPI 1629489810
Licensed Practical Nurse in Fulton, NY

Q: What is Kimberley Trail's NPI number?

The NPI number for Kimberley Trail is 1629489810. It was assigned to this individual provider in the NPPES registry on May 10, 2014.

Q: What is Kimberley Trail's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberley Trail was last updated on May 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since May 10, 2014

419 SENECA ST, FULTON, NY 13069(315) 380-9325 Get Directions Write a Review

NPPES record last updated: May 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kimberley Trail NPPES

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

KIMBERLEY TRAIL (NPI 1629489810) is an individual licensed practical nurse in Fulton, New York, licensed in New York (266689-1) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1629489810

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameKIMBERLEY TRAIL

Location Address419 SENECA STFulton, NY 13069-1332

Mailing Address419 Seneca StFulton, NY 13069-1332 · (315) 380-9325

Phone(315) 380-9325

Sole ProprietorYes

Enumeration DateMay 10, 2014

✔ NPI 1629489810 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 · 266689-1

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.

419 SENECA ST, Fulton, NY 13069

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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 Kimberley Trail's NPI number?

The NPI number for Kimberley Trail is 1629489810. It was assigned to this individual provider in the NPPES registry on May 10, 2014.

Where is Kimberley Trail located?

Kimberley Trail practices at 419 Seneca St, Fulton, NY 13069. The listed phone number is (315) 380-9325.

What is Kimberley Trail'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 Kimberley Trail was last updated on May 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.