Kathleen Marie Fenton
Licensed Practical Nurse in Canandaigua, NY. Individual provider (NPI-1).
NPI number1912277146
StatusActive
Last updated in NPPESMay 6, 2025
Details
- NPI
- 1912277146
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kathleen Marie Fenton
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 4, 2012
- Certification date
- May 6, 2025
- Last updated
- May 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 285721-1 | NY | Yes |
Practice location
350 Gorham StCanandaigua, NY 14424-1825
Phone 585-216-7717
Mailing address
350 Gorham StCanandaigua, NY 14424-1825
Phone 585-216-7717
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