Individual provider · Type 1 NPI

Kelly Samuelson

Licensed Vocational Nurse · Placerville, CA

NPI number 1245050434 Active

Practice location

935 Spring St # B
Placerville, CA 95667-4543

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000XLN190947 (CA)

Licensed Vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1245050434

Kelly Samuelson's National Provider Identifier is 1245050434, issued on Oct 14, 2024. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Placerville, CA. The record was last updated on Oct 14, 2024.