Individual provider · Type 1 NPI

Kathleen M. Tyo, LPN

Licensed Practical Nurse · Utica, NY

NPI number 1679892665 Active

Practice location

2614 Genesee St
Utica, NY 13502-6003

Mailing address

409 1st Avenue Ext
Frankfort, NY 13340-3516

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X091852-1 (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 1679892665

Kathleen M. Tyo, LPN's National Provider Identifier is 1679892665, issued on May 31, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Utica, NY. The record was last updated on May 31, 2010.