Katherine Zephania Smith | Rochester, NY • PECOS Search

Katherine Zephania Smith

Licensed Practical Nurse

Nursing Service Providers

198 Morton St, Rochester, NY 14609-4027

PECOS Enrollment

Based on the most recent information from CMS, provider Katherine Zephania Smith does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:33 PM.

Profile Details

Provider ID
1033669544
Provider Type
Individual
Full Name
Smith, Katherine Zephania
Gender
Female

Sole Proprietor
Yes
Enumeration Date
10/7/2016
Last Updated
10/7/2016

Contact Information

Practice Location

198 Morton St, Rochester, NY 14609-4027

Unlisted Fax

Mailing Location

198 Morton St, Rochester, NY 14609-4027

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 164W00000X Primary	Description Licensed Practical Nurse Nursing Service Providers	License 325992 New York