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Kimberly Edmond, L.P.N.

Licensed Practical Nurse in Melville, NY. Individual provider (NPI-1).

NPI number1689905945
StatusActive
Last updated in NPPESJan 4, 2011

Details

NPI
1689905945
Entity type
Individual (NPI-1)
Name
Kimberly Edmond
Credential
L.P.N.
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 26, 2010
Last updated
Jan 4, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse291353NYYes

Practice location

400 S Service Rd
Melville, NY 11747-3229

Phone 631-439-3091

Mailing address

918 Sterling Pl
West Babylon, NY 11704-1616

Phone 631-671-1125

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