Provider Demographics
NPI:1427461482
Name:KINSER, BRITTANI (LPN)
Entity type:Individual
Prefix:
First Name:BRITTANI
Middle Name:
Last Name:KINSER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16703 RIDGE RD LOT 15
Mailing Address - Street 2:
Mailing Address - City:HOLLEY
Mailing Address - State:NY
Mailing Address - Zip Code:14470-9528
Mailing Address - Country:US
Mailing Address - Phone:585-590-7015
Mailing Address - Fax:
Practice Address - Street 1:16703 RIDGE RD LOT 15
Practice Address - Street 2:
Practice Address - City:HOLLEY
Practice Address - State:NY
Practice Address - Zip Code:14470-9528
Practice Address - Country:US
Practice Address - Phone:585-590-7015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-07
Last Update Date:2014-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY10309493164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse