Miss Alyse Renee Kickbush, LPN is a
Licensed Practical Nurse based in Conewango Valley, New York. Miss Alyse Renee Kickbush is licensed to practice in New York (license number 322718) and her current practice location is
5165 Route 62, Conewango Valley, New York. She can be reached at her office (for appointments etc.) via phone at
(716) 352-1593.
NPI number for Miss Alyse Renee Kickbush is 1427424662 and her current mailing address is 5165 Route 62, Conewango Valley, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427424662.
Provider's Profile
Full Name | Miss Alyse Renee Kickbush |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 5165 Route 62, Conewango Valley, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1427424662
- Provider Enumeration Date: 08/11/2015
- Last Update Date: 08/11/2015
Medical Identifiers
Medical identifiers for Miss Alyse Renee Kickbush such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427424662 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 322718 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Alyse Renee Kickbush is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Alyse Renee Kickbush, LPN 5165 Route 62, Conewango Valley, NY 14726-9713 Ph: (716) 352-1593 | Miss Alyse Renee Kickbush, LPN 5165 Route 62, Conewango Valley, NY 14726-9713 Ph: (716) 352-1593 |
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