Individual provider · Type 1 NPI

Kelly Lynn Mattingly

Licensed Practical Nurse · Shelbyville, TN

NPI number 1083309991 Active

Practice location

140 Dover St
Shelbyville, TN 37160-2776

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X97700 (TN)

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 1083309991

Kelly Lynn Mattingly's National Provider Identifier is 1083309991, issued on Apr 6, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Shelbyville, TN. The record was last updated on Apr 6, 2023.