Individual provider · Type 1 NPI

Kim Keziah Mendez, ANP-C

Adult Health Nurse Practitioner · Patchogue, NY

NPI number 1740323500 Active

Practice location

101 Hospital Rd, Brookhaven Memorial Hospital
Patchogue, NY 11772-4870

Mailing address

3 Cooks Rd
East Patchogue, NY 11772-5606

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XF300689-1 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1740323500

Kim Keziah Mendez, ANP-C's National Provider Identifier is 1740323500, issued on Feb 14, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Patchogue, NY. The record was last updated on Jul 8, 2007.