Individual provider · Type 1 NPI

Kellie Lynette Wyant, LPN

Licensed Practical Nurse · Acra, NY

NPI number 1730733809 Active

Practice location

586 Old Route 23
Acra, NY 12405-1223

Mailing address

PO Box 404
Stottville, NY 12172-0404

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X316276 (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.

About NPI 1730733809

Kellie Lynette Wyant, LPN's National Provider Identifier is 1730733809, issued on Jul 28, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Acra, NY. The record was last updated on Jul 28, 2019.