Individual provider · Type 1 NPI

Kelly Wheaton

Licensed Practical Nurse · Fort Edward, NY

NPI number 1871422246 Active

Practice location

244 Broadway
Fort Edward, NY 12828-1535

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X273613 (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 1871422246

Kelly Wheaton's National Provider Identifier is 1871422246, issued on May 13, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fort Edward, NY. The record was last updated on May 13, 2026.