LISA ANNE KIMBALL NPI 1508203142

NPI Information

  • NPI: 1508203142
  • Provider Name: LISA ANNE KIMBALL
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 10559 POWELL RD
    HOLLAND PATENT, NY
    ZIP 13354
  • Phone: (315) 982-1458

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NPI Details

Lisa Anne Kimball is a licensed practical nurse in Holland Patent, NY. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Lisa Anne Kimball NPI is 1508203142. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10559 POWELL RD
HOLLAND PATENT, NY
ZIP 13354-527
Phone: (315) 982-1458

The enumeration date for this NPI number is 5/22/2013 and was last updated on 5/22/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1164W00000XLicensed Practical Nurse236405-1NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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