| Mr Kevin L Stith, LPN | |
|
1868 Willowdale Rd, Skaneateles, NY 13152-8605 | |
| (315) 673-4075 | |
| Not Available |
| Full Name | Mr Kevin L Stith |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 1868 Willowdale Rd, Skaneateles, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114109162 | NPI | - | NPPES |
| 02263289 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 267360 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kevin L Stith, LPN 214 Ferncliff Ave, Liverpool, NY 13088-6410 Ph: (315) 451-4012 | Mr Kevin L Stith, LPN 1868 Willowdale Rd, Skaneateles, NY 13152-8605 Ph: (315) 673-4075 |
Amy Lynn Vanholtz, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 930 Old Seneca Tpke, Skaneateles, NY 13152 Phone: 315-685-5839 Fax: 315-664-9279 | |
Ms. Yvonne Elaine Mills, LICENSED PRACTICAL N Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 10 Kane Ave. Bld. D-5, Yvonne E. Mills, Skaneateles, NY 13152 Phone: 315-406-4429 |