Individual provider · Type 1 NPI

Kailene Leila Tedford, FNP

Family Nurse Practitioner · Plattsburgh, NY

NPI number 1558096057 Active

Practice location

87 Plaza Blvd
Plattsburgh, NY 12901-6438

Call (518) 536-7060 Map

Fax (518) 536-7075

Mailing address

9 Carey Rd
Queensbury, NY 12804-7880

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	350122 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1558096057

Kailene Leila Tedford, FNP's National Provider Identifier is 1558096057, issued on Jul 19, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Plattsburgh, NY. The record was last updated on Oct 7, 2026.