Individual provider · Type 1 NPI

Melissa Kelly

Licensed Practical Nurse · Clayton, NY

NPI number 1801070008 Active

Practice location

40717 Nys Rt 12
Clayton, NY 13624

Mailing address

40717 New York State Rt 12
Clayton, NY 13624

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X285796 (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 1801070008

Melissa Kelly's National Provider Identifier is 1801070008, issued on Dec 24, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Clayton, NY. The record was last updated on Dec 24, 2007.