Individual provider · Type 1 NPI

Kelly Kullenberg, LVN

Licensed Vocational Nurse · Austin, TX

NPI number 1982186433 Active

Practice location

3508 Far West Blvd
Austin, TX 78731-3080

Mailing address

1812 Paseo Verde Dr
Leander, TX 78641-8293

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X149133 (TX)

Licensed Vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1982186433

Kelly Kullenberg, LVN's National Provider Identifier is 1982186433, issued on Aug 31, 2018. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Austin, TX. The record was last updated on Aug 31, 2018.