Individual provider · Type 1 NPI

Kelly Ann Pedersen, LPN

Licensed Practical Nurse · Rhinebeck, NY

NPI number 1023160215 Active

Practice location

190 Foxhollow Rd
Rhinebeck, NY 12572

Mailing address

5 Dogwood Dr
Highland, NY 12528-2443

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X239071-1 (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 1023160215

Kelly Ann Pedersen, LPN's National Provider Identifier is 1023160215, issued on Jan 17, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rhinebeck, NY. The record was last updated on Jul 8, 2007.