James Ronald Keagle LPN

NPI 1033488739 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1033488739
Gender Male
Enumeration Date 12/26/2011
Last Updated 12/26/2011
Entity Type Individual
Active Over 4 years ago
Practice Location
10631 SALTER RD
NORTH ROSE NY, 14516-9502, US
Phone (315) 576-6805
Fax (315) 370-8000
Business Location
10631 SALTER RD
P.O. BOX 7
NORTH ROSE NY, 14516-9502, US
Phone (315) 576-6805
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 249428
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According to our database, Mr. James Ronald Keagle LPN NPI is 1033488739, taxonomy code is 164W00000X and license number is 249428, license state is located at New York. James Ronald Keagle LPN physically located at 10631 Salter Rd, North Rose NY, 14516-9502. NPI Number James Ronald Keagle LPN has the Individual type.

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1033488739 NPI number is provided on an as is basis without warranty of any kind. 1033488739 is maintained by the National Plan & Provider Enumeration System. The contents of James Ronald Keagle LPN are for informational purposes only.