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

Kimberly Tallon

Individual provider Licensed Practical Nurse · NPI 1932490257

Kimberly Tallon is a Licensed Practical Nurse in Ronkonkoma, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011
Specialties on file
2

Practice location Address checks out

38 Cherry St
Ronkonkoma, NY 11779-4352
Phone: (631) 903-7688
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 800686 (NY)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 294449 (NY)

Record details

NPI number1932490257
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 20, 2011
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025

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