Individual
ANISSA MICHELLE KINSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
409 SPENCERPORT RD APT 1, ROCHESTER, NY 14606-5241
(585) 642-5903
Mailing address
409 SPENCERPORT RD APT 1, ROCHESTER, NY 14606-5241
(585) 642-5903
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
286428
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02815272
—
NY
Enumeration date
05/02/2007
Last updated
06/25/2024
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