Susan Kallameyer, LPN
Licensed Practical Nurse in Brewster, NY. Individual provider (NPI-1).
NPI number1104136175
StatusActive
Last updated in NPPESOct 8, 2010
Details
- NPI
- 1104136175
- Entity type
- Individual (NPI-1)
- Name
- Susan Kallameyer
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 8, 2010
- Last updated
- Oct 8, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 123424-1 | NY | Yes |
Practice location
111 Clock Tower CommonsBrewster, NY 10509-4055
Phone 845-279-5187
Mailing address
111 Clock Tower CommonsBrewster, NY 10509-4055
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All 24 Licensed Practical Nurse providers in Brewster · All 712 providers in Brewster
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