Individual provider · Type 1 NPI
Kim P. Gendron, FNP
Family Nurse Practitioner · Schaghticoke, NY
NPI number
1053404061
Active
Practice location
19 Blue Jay Cir
Schaghticoke, NY 12154-2950
Fax (518) 328-8370
Other practice locations
- 4 Emma Ln Ste 402, Clifton Park, NY 12065-3705 · (518) 901-7838
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F331800 (NY) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F401277 (NY) |
Family Nurse Practitioner: Definition to come...
About NPI 1053404061
Kim P. Gendron, FNP's National Provider Identifier is 1053404061, issued on Oct 2, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Schaghticoke, NY. The record was last updated on May 6, 2026.