Individual provider · Type 1 NPI

Kelly M. Nolan

Licensed Practical Nurse · Medford, NY

NPI number 1023494168 Active

Practice location

2811 Watchill Ave
Medford, NY 11763-1953

Call (631) 627-0059 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X322373 (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 1023494168

Kelly M. Nolan's National Provider Identifier is 1023494168, issued on Jul 30, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Medford, NY. The record was last updated on Jul 30, 2015.