MS. Kimberly L. Provenzano
MS. Kimberly L. Provenzano is a Nurse Practitioner in Rochester, New York. Qualified in 1997, 29 years ago. Practices with Rochester General Hospital, a 1,197-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.
- Years since qualifying
- 29
- Licensed in
- NY
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
1425 Portland AveRochester, NY 14621-3001
Phone: (585) 922-4020
Fax: (585) 922-4622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 370019 (NY) |
|---|---|
| Oncology Clinical Nurse Specialist | Taxonomy 364SX0200X · Licence 370019 (NY) |
Record details
| NPI number | 1104864081 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 3, 2006 |
| Last updated in NPPES | July 28, 2023 |
| Certification date | July 28, 2023 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 1997 (29 years in practice) |
| Group practice | Rochester General Hospital — 1197 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |