Individual provider · Type 1 NPI

Mary Diane Kalkhof, LPN

Licensed Practical Nurse · Medford, NY

NPI number 1699080606 Active

Practice location

5 Russell Ct
Medford, NY 11763-4013

Call (631) 475-7831 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X237551-1 (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 1699080606

Mary Diane Kalkhof, LPN's National Provider Identifier is 1699080606, issued on Aug 13, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Medford, NY. The record was last updated on Aug 13, 2010.