Individual provider · Type 1 NPI

Tyda Saroeung Rom Keo, LPN

Licensed Practical Nurse · Somerville, MA

NPI number 1245052265 Active

Practice location

401 Highland Ave
Somerville, MA 02144-2516

Call (833) 510-4357 Map

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLN100116 (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 1245052265

Tyda Saroeung Rom Keo, LPN's National Provider Identifier is 1245052265, issued on Oct 30, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Somerville, MA. The record was last updated on Oct 30, 2024.