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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIMBERLY FENELON

Active Sole Proprietor

KIMBERLY FENELON is a Critical Care Nurse healthcare provider located in VALLEY STREAM, New York. NPI 1558158790 is currently active in the NPPES registry. Verify at CMS.

Critical Care Nurse · VALLEY STREAM, NY

Registration Details

NPI Number
1558158790
Provider Type
Individual
Gender
Female
NPI Issued
Apr 22, 2025 (1.3540084985913 yrs)
Last Updated
Apr 22, 2025
License
721598 (NY)
Sole Proprietor
Yes

Practice Information

Address
135 S WALDINGER ST
VALLEY STREAM, NY, 115805217
Browse NY providers · Browse ZIP 11580
Phone
9173715028
Primary Specialty
Critical Care Nurse
163WC0200X

Other Critical Care Nurse Providers in VALLEY STREAM, NY

Name Credential NPI
MRS. ENRIQUETA LANDICHO GARCIA RN 1366695546
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.