Individual provider · Type 1 NPI

Cassandra Terresa Kelly, LPN

Licensed Practical Nurse · Mcdonough, GA

NPI number 1376850719 Active

Practice location

139 Henry Pkwy
Mcdonough, GA 30253-6636

Fax (770) 898-7412

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN081087 (GA)

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 1376850719

Cassandra Terresa Kelly, LPN's National Provider Identifier is 1376850719, issued on Sep 7, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Mcdonough, GA. The record was last updated on Sep 16, 2010.