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KIMBERLY REYNOLDS LPN
NPI 1699038752
Licensed Practical Nurse in Deer Park, NY

Active since June 22, 2012
120 WASHINGTON AVE, DEER PARK, NY 11729(631) 339-8796 Get Directions Write a Review

NPPES record last updated: June 22, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kimberly Reynolds Lpn NPPES

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

KIMBERLY REYNOLDS LPN (NPI 1699038752) is an individual licensed practical nurse in Deer Park, New York, licensed in New York (308688-1) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1699038752
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKIMBERLY REYNOLDSCredential: LPN
Location Address120 WASHINGTON AVEDeer Park, NY 11729-6932
Mailing Address120 Washington AveDeer Park, NY 11729-6932 · (631) 339-8796
Phone(631) 339-8796
Sole ProprietorYes
Enumeration DateJune 22, 2012
✔ NPI 1699038752 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 · 308688-1
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.
120 WASHINGTON AVE, Deer Park, NY 11729
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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 Kimberly Reynolds's NPI number?

The NPI number for Kimberly Reynolds is 1699038752. It was assigned to this individual provider in the NPPES registry on June 22, 2012.

Where is Kimberly Reynolds located?

Kimberly Reynolds practices at 120 Washington Ave, Deer Park, NY 11729. The listed phone number is (631) 339-8796.

What is Kimberly Reynolds'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 Kimberly Reynolds was last updated on June 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.