Individual provider · Type 1 NPI

Edward Lawrence Kelly Jr., LPN

Licensed Practical Nurse · Glenwood, IA

NPI number 1083890503 Active

Practice location

711 S Vine St
Glenwood, IA 51534-1927

Mailing address

709 Washington Ave
Red Oak, IA 51566-2439

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XP12593 (IA)

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 1083890503

Edward Lawrence Kelly Jr., LPN's National Provider Identifier is 1083890503, issued on Jan 15, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Glenwood, IA. The record was last updated on Jan 15, 2008.