Individual provider · Type 1 NPI

Kelly Jo Carpenter, LPN

Licensed Practical Nurse · Canton, NY

NPI number 1003915638 Active

Practice location

Commerce Lane
Canton, NY 13617

Call (315) 386-8191 Map

Fax (315) 386-1410

Mailing address

128 Canton St
Hermon, NY 13652

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X277553 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1003915638

Kelly Jo Carpenter, LPN's National Provider Identifier is 1003915638, issued on Sep 21, 2006. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Canton, NY. The record was last updated on Jul 8, 2007.