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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY BUSH

Active Sole Proprietor

KELLY BUSH is a Licensed Practical Nurse healthcare provider located in PHOENIX, New York. NPI 1730550724 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · PHOENIX, NY

Registration Details

NPI Number
1730550724
Provider Type
Individual
Gender
Female
NPI Issued
Oct 15, 2015 (10.685273233104 yrs)
Last Updated
Oct 15, 2015
Licenses
284235 (NY)
284235 (NY)
Sole Proprietor
Yes

Practice Information

Address
528 MAIN ST
PHOENIX, NY, 131352056
Browse NY providers · Browse ZIP 13135
Phone
3153418923
Primary Specialty
Licensed Practical Nurse
164W00000X
Additional Specialty
Home Health

Other Licensed Practical Nurse Providers in PHOENIX, NY

Name Credential NPI
MRS. TAMMY LYNN BIGELOW PDN-LPN 1558586222
CYNTHIA LEE BURGHARDT LPN 1023284106
MS. HEATHER L ASHLEY LPN 1427205822
SCOTT MATTHEW PALOCY LPN 1376772293
MS. SUZAN MARY ELIZABETH SHELDON 1639402498
PATRICIA IRENE SMITH LPN 1982923132
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.