Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kim M Raczkowski

Individual provider Licensed Practical Nurse · NPI 1124499918

Kim M Raczkowski is a Licensed Practical Nurse in Kenmore, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

67 Victoria Blvd
Kenmore, NY 14217-2313
Phone: (716) 873-2826
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 313361-1 (NY)

Record details

NPI number1124499918
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 19, 2015
Last updated in NPPESOctober 19, 2015
Mailing address67 Victoria Blvd, Kenmore, NY 14217-2313

Other providers in Kenmore