Individual provider · Type 1 NPI

Kathy Booth, LPN

Licensed Practical Nurse · Watertown, NY

NPI number 1255656252 Active

Practice location

21107 Coffeen St.
Watertown, NY 13601

Call (315) 782-9285 Map

Fax (315) 782-9289

Mailing address

PO Box 183
Watertown, NY 13601-0183

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	257538-1 (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 1255656252

Kathy Booth, LPN's National Provider Identifier is 1255656252, issued on Apr 1, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Watertown, NY. The record was last updated on Apr 1, 2010.