Individual
COURTNEY B KIMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
438 AUGUSTINE ST, ROCHESTER, NY 14613-1312
(585) 287-0707
Mailing address
438 AUGUSTINE ST, ROCHESTER, NY 14613-1312
(585) 287-0707
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
322350-1
NY
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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