Individual ProviderKristen ClemontsLicensed Practical NurseNursing Service ProvidersPractice Address396 Waring Rd, Rochester, NY 14609-2406(585) 351-7962PECOS EnrollmentBased on the most recent information from CMS, provider Kristen Clemonts does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:33 PM.Profile DetailsProvider ID1699026294Provider TypeIndividualFull NameClemonts, KristenCredentialLPNGenderFemaleSole ProprietorYesEnumeration Date9/24/2012Last Updated9/24/2012Contact InformationPractice LocationPractice Address396 Waring Rd, Rochester, NY 14609-2406Phone(585) 351-7962FaxUnlisted FaxMailing LocationMailing Address396 Waring Rd, Rochester, NY 14609-2406Phone(585) 351-7962FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense304550New York