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

MRS. TRACEY ANN KLOCK, LPN

Active Sole Proprietor

MRS. TRACEY ANN KLOCK, LPN is a Licensed Practical Nurse healthcare provider located in JORDAN, New York. NPI 1679708101 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · JORDAN, NY

Registration Details

NPI Number
1679708101
Provider Type
Individual
Gender
Female
NPI Issued
May 28, 2009 (17.248351165238 yrs)
Last Updated
May 28, 2009
License
287183-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
5444 HAMILTON RD
JORDAN, NY, 130809580
Browse NY providers · Browse ZIP 13080
Phone
3156896519
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in JORDAN, NY

Name Credential NPI
MRS. JENNIFER LEE HOLBROOK 1831323179
MRS. PAMELA RENA BORT LPN 1255566998
MISS KATIE MARIE ZIESCHANG LPN 1689996233
NICHOLE MARIE TOPOLEWSKI LPN 1952783086
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.