Individual provider · Type 1 NPI
Kelly A. Matthews, LPN
Licensed Practical Nurse · Port Jefferson Station, NY
NPI number
1578857892
Active
Practice location
200 Sterling St
Port Jefferson Station, NY 11776-2530
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 3056061 (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 1578857892
Kelly A. Matthews, LPN's National Provider Identifier is 1578857892, issued on Jun 3, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Jan 25, 2013.