NPI 1013044387
Kerstin L Bourgeois, LPN
Practice location
- Address
- 98 Paradise Rd, Central Square, NY 13036-2253
- Phone
- (315) 668-2253
- Mailing address
- 362 S Railroad St P.O. Box 495, Parish, NY 13131-3370
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1013044387
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Feb 2007
- Record last updated
- 9 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.