Individual provider · Type 1 NPI

Kelly Lee Roach, LPN

Licensed Practical Nurse · Jefferson, OH

NPI number 1417077223 Active

Practice location

173 W Cedar St
Jefferson, OH 44047-1380

Call (440) 576-3066 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN . 109453 (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 1417077223

Kelly Lee Roach, LPN's National Provider Identifier is 1417077223, issued on Mar 29, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Jefferson, OH. The record was last updated on Jun 18, 2009.