Kim M Raczkowski

NPI #1124499918 in Kenmore, New York

Provider Information

NPI Number
1124499918
Entity Type
Individual
Name
Kim M Raczkowski
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Oct 19, 2015
Last Updated
Oct 19, 2015

Practice Location

Address
67 VICTORIA BLVD
ZIP Code
14217-2313
Phone
(716) 873-2826

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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