Individual provider · Type 1 NPI

Kelly Davidson, LPN

Licensed Practical Nurse · Constantia, NY

NPI number 1407565542 Active

Practice location

260 N Auringer Rd
Constantia, NY 13044-2777

Call (315) 532-0351 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X293168 (NY)

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 1407565542

Kelly Davidson, LPN's National Provider Identifier is 1407565542, issued on Nov 17, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Constantia, NY. The record was last updated on Nov 17, 2022.