NPI 1124189808 · live from the CMS NPI Registry
Kimberly Adams, RN
Registered Nurse in Buffalo, NY. National Provider Identifier 1124189808, active.
NPI record
| NPI | 1124189808 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse 163W00000X |
| Practice location | 430 Niagara St, Buffalo, NY 14201 |
| Practice phone | 716-856-2587 |
| Mailing address | 430 Niagara St, Lakeshore Behavioral Health, Buffalo, NY 14201 |
| Enumerated | December 13, 2006 |
| Last updated | January 26, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse primary | 163W00000X | 517918 (NY) |
| Registered Nurse, Psych/Mental Health, Adult | 163WP0809X | 517918 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.