Kelly Lynn Bragan in Liverpool - Licensed Practical Nurse
Kelly Lynn Bragan - NPI 1104017524
Kelly Lynn Bragan is a Licensed Practical Nurse in Liverpool, New York. Kelly Lynn Bragan practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Kelly Lynn Bragan is 1104017524. The last update date is 2007-08-09.
Kelly Lynn Bragan's current location address is 49 Inglesid Lane, Liverpool, New York. You can contact this provider via phone number 3154614240. The mailing address for Kelly Lynn Bragan is 49 Inglesid Lane, Liverpool, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Lynn Bragan |
|---|---|
| Address | 49 Inglesid Lane, Liverpool, New York |
| Phone Number | 3154614240 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1104017524 |
|---|---|
| Provider Enumeration Date | 2007-08-09 |
| Last Updated Date | 2007-08-09 |
Provider Mailing Address Detail
| Address | 49 Inglesid Lane |
|---|---|
| City | Liverpool |
| State | New York (NY) |
| Post Code | 13090 |
| Phone Number | 3154614240 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 2621441 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2059754 | NY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kelly Lynn Bragan?
The Kelly Lynn Bragan has been issued the NPI (National Provider Identifier) 1104017524 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Kelly Lynn Bragan is geographically located?
The Kelly Lynn Bragan is physically situated at the following location: 49 Inglesid Lane, Liverpool, NY, 13090.
What is the area of specialization for Kelly Lynn Bragan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kelly Lynn Bragan is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this area of expertise is 164W00000X.
When did the Kelly Lynn Bragan receive its 1104017524?
The Kelly Lynn Bragan was issued its 1104017524 on 2007-08-09, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Kelly Lynn Bragan most recently updated or revised?
The details related to Kelly Lynn Bragan, including its address, specialty, and other relevant information, were last updated or revised on 2007-08-09.
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