Kelly Jo Carpenter in Canton - Licensed Practical Nurse

Kelly Jo Carpenter - NPI 1003915638

Kelly Jo Carpenter is a Licensed Practical Nurse in Canton, New York. Kelly Jo Carpenter practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Kelly Jo Carpenter is 1003915638. The last update date is 2007-07-08.

Kelly Jo Carpenter's current location address is Commerce Lane, Canton, New York. You can contact this provider via phone number 3153868191 and fax number 3153861410. The mailing address for Kelly Jo Carpenter is Commerce Lane, Canton, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Jo Carpenter
Address Commerce Lane, Canton, New York
Phone Number 3153868191
Fax Number 3153861410
Sole Proprietor N
Credentials LPN

NPI Number Detail

NPI Number 1003915638
Provider Enumeration Date 2006-09-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Commerce Lane
City Canton
State New York (NY)
Post Code 13617
Phone Number 3153868191
Fax Number 3153861410

Provider's Primary Taxonomy Detail

Speciality Licensed Practical Nurse
Taxonomy 164W00000X
Licence No 277553
Definition:
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 r

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FAQs about Kelly Jo Carpenter

What is the Kelly Jo Carpenter's 1003915638?

The Kelly Jo Carpenter's NPI (National Provider Identifier) Number is 1003915638. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Kelly Jo Carpenter located?

The Kelly Jo Carpenter is located at Commerce Lane, Canton, NY 13617.

What is Kelly Jo Carpenter's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kelly Jo Carpenter is Licensed Practical Nurse, and the taxonomy code that categorizes this field of expertise is 164W00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1003915638 to Kelly Jo Carpenter?

The Centers for Medicare & Medicaid Services originally issued the 1003915638 to Kelly Jo Carpenter on 2006-09-21.

As of what date were the details pertaining to Kelly Jo Carpenter last refreshed?

The information related to the Kelly Jo Carpenter, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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