Individual provider · Type 1 NPI

Kellie R. Wilson, LPN

Licensed Practical Nurse · Manistee, MI

NPI number 1013370634 Active

Practice location

385 7th St
Manistee, MI 49660-1966

Fax (231) 723-6335

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703108511 (MI)

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 1013370634

Kellie R. Wilson, LPN's National Provider Identifier is 1013370634, issued on Mar 31, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Manistee, MI. The record was last updated on Mar 31, 2016.