Individual provider · Type 1 NPI

Kelley Marie Anderson, LPN

Licensed Practical Nurse · Brockport, NY

NPI number 1710437892 Active

Practice location

500 White Road
Brockport, NY 14420-9610

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X322767-1 (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 1710437892

Kelley Marie Anderson, LPN's National Provider Identifier is 1710437892, issued on Oct 12, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Brockport, NY. The record was last updated on May 19, 2021.