Individual provider · Type 1 NPI

Kelly Marie Ethridge, LPN

Licensed Practical Nurse · Toledo, OH

NPI number 1174863377 Active

Practice location

2440 Eastbrook Dr
Toledo, OH 43613-3927

Call (419) 708-7760 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN. 148801-M-IV (OH)

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 1174863377

Kelly Marie Ethridge, LPN's National Provider Identifier is 1174863377, issued on Feb 25, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Toledo, OH. The record was last updated on Feb 25, 2013.