Provider Demographics
NPI:1801654637
Name:KLEPFER, SARA (LPN)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:
Last Name:KLEPFER
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 1:22 PULLMAN ST
Mailing Address - Street 2:
Mailing Address - City:BROCTON
Mailing Address - State:NY
Mailing Address - Zip Code:14716-9650
Mailing Address - Country:US
Mailing Address - Phone:716-401-2051
Mailing Address - Fax:
Practice Address - Street 1:22 PULLMAN ST
Practice Address - Street 2:
Practice Address - City:BROCTON
Practice Address - State:NY
Practice Address - Zip Code:14716-9650
Practice Address - Country:US
Practice Address - Phone:716-401-2051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY319065-01164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse