Elizabeth Kathleen Kelley in Shawano - Licensed Practical Nurse
Elizabeth Kathleen Kelley - NPI 1194914499
Elizabeth Kathleen Kelley is a Licensed Practical Nurse in Shawano, Wisconsin. Elizabeth Kathleen Kelley practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Elizabeth Kathleen Kelley is 1194914499. The last update date is 2007-10-23.
Elizabeth Kathleen Kelley's current location address is W4764 Hidden Pine Ln, Shawano, Wisconsin. You can contact this provider via phone number 9208582682 and fax number 7157452957. The mailing address for Elizabeth Kathleen Kelley is W4764 Hidden Pine Ln, Shawano, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elizabeth Kathleen Kelley |
|---|---|
| Address | W4764 Hidden Pine Ln, Shawano, Wisconsin |
| Phone Number | 9208582682 |
| Fax Number | 7157452957 |
| Sole Proprietor | Y |
| Credentials | LPN/RCS |
NPI Number Detail
| NPI Number | 1194914499 |
|---|---|
| Provider Enumeration Date | 2007-10-23 |
| Last Updated Date | 2007-10-23 |
Provider Mailing Address Detail
| Address | W4764 Hidden Pine Ln |
|---|---|
| City | Shawano |
| State | Wisconsin (WI) |
| Post Code | 541661650 |
| Phone Number | 9208582682 |
| Fax Number | 7157452957 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 27691-031 |
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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 |
|---|---|---|---|
| 38275700 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Elizabeth Kathleen Kelley by the Centers for Medicare & Medicaid Services?
The Elizabeth Kathleen Kelley has been assigned the NPI (National Provider Identifier) 1194914499 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Elizabeth Kathleen Kelley?
The Elizabeth Kathleen Kelley is physically situated at W4764 Hidden Pine Ln, in the city of Shawano, state of WI, with the postal code 541661650.
What is the Elizabeth Kathleen Kelley's specialty and taxonomy code?
The Elizabeth Kathleen Kelley's specialty is Licensed Practical Nurse, and the corresponding taxonomy code is 164W00000X.
On what date did the Elizabeth Kathleen Kelley receive its 1194914499 assignment from the Centers for Medicare & Medicaid Services?
The Elizabeth Kathleen Kelley was assigned its 1194914499 by the Centers for Medicare & Medicaid Services on 2007-10-23.
As of what date was the information regarding Elizabeth Kathleen Kelley, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Elizabeth Kathleen Kelley, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-23.