Provider Demographics
NPI:1215178181
Name:RANI, KAMLESH (LPN)
Entity Type:Individual
Prefix:MRS
First Name:KAMLESH
Middle Name:
Last Name:RANI
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 ROSEMARY LN
Mailing Address - Street 2:
Mailing Address - City:CENTEREACH
Mailing Address - State:NY
Mailing Address - Zip Code:11720-4412
Mailing Address - Country:US
Mailing Address - Phone:631-846-3934
Mailing Address - Fax:
Practice Address - Street 1:76 ROSEMARY LN
Practice Address - Street 2:
Practice Address - City:CENTEREACH
Practice Address - State:NY
Practice Address - Zip Code:11720-4412
Practice Address - Country:US
Practice Address - Phone:631-846-3934
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-23
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY292340-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse