Individual provider · Type 1 NPI

Kimberley Trail

Licensed Practical Nurse · Fulton, NY

NPI number 1629489810 Active

Practice location

419 Seneca St
Fulton, NY 13069-1332

Call (315) 380-9325 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X266689-1 (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 1629489810

Kimberley Trail's National Provider Identifier is 1629489810, issued on May 10, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fulton, NY. The record was last updated on May 10, 2014.