Individual provider · Type 1 NPI

Kelley Gordon, LPN

Licensed Practical Nurse · Everett, MA

NPI number 1174800643 Active

Practice location

321 Ferry St, # 6
Everett, MA 02149-5608

Call (617) 785-4812 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLN69985 (MA)

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 1174800643

Kelley Gordon, LPN's National Provider Identifier is 1174800643, issued on Nov 10, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Everett, MA. The record was last updated on Nov 10, 2011.