Individual provider · Type 1 NPI

Kaylon Demendonca

Licensed Practical Nurse · Laurelton, NY

NPI number 1235708058 Active

Practice location

13952 232nd St
Laurelton, NY 11413-2927

Call (347) 922-0038 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X280234-1 (NY)

Licensed Practical Nurse: An individual 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.

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About NPI 1235708058

Kaylon Demendonca's National Provider Identifier is 1235708058, issued on Jun 24, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Laurelton, NY. The record was last updated on Jun 24, 2021.