Individual provider · Type 1 NPI

Kelly Graves

Licensed Practical Nurse · Medford, NY

NPI number 1801203872 Active

Practice location

96 Jamaica Ave
Medford, NY 11763-3518

Call (631) 707-6065 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X277185-1 (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 1801203872

Kelly Graves's National Provider Identifier is 1801203872, issued on Jul 22, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Medford, NY. The record was last updated on Jul 22, 2014.