Kevin L. Stith LPN

NPI 1114109162 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1114109162
Gender Male
Enumeration Date 12/02/2007
Last Updated 12/02/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1868 WILLOWDALE RD
SKANEATELES NY, 13152-8605, US
Phone (315) 673-4075
Fax
Business Location
214 FERNCLIFF AVE
LIVERPOOL NY, 13088-6410, US
Phone (315) 451-4012
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 267360
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According to our database, Mr. Kevin L. Stith LPN NPI is 1114109162, taxonomy code is 164W00000X and license number is 267360, license state is located at New York. Kevin L. Stith LPN physically located at 1868 Willowdale Rd, Skaneateles NY, 13152-8605. NPI Number Kevin L. Stith LPN has the Individual type.

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1114109162 NPI number is provided on an as is basis without warranty of any kind. 1114109162 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin L. Stith LPN are for informational purposes only.