Individual provider · Type 1 NPI
Mballu P. Kallon, RN
Licensed Practical Nurse · Bronx, NY
NPI number
1962787291
Active
Practice location
1322 Clay Ave
Bronx, NY 10456-1766
Mailing address
1900 Grand Concourse Apt 1F
Bronx, NY 10457-5214
Other practice locations
- 998 Crooked Hill Rd, West Brentwood, NY 11717-1019 · (631) 761-3500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 758198 (NY) |
| Licensed Practical Nurse Primary | 164W00000X | 2947931 (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 1962787291
Mballu P. Kallon, RN's National Provider Identifier is 1962787291, issued on Oct 18, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bronx, NY. The record was last updated on Oct 16, 2020.