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

KIM SHANTAE KELLEY, LPN

Active Sole Proprietor

KIM SHANTAE KELLEY, LPN is a Licensed Practical Nurse healthcare provider located in BRONX, New York. NPI 1922283787 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · BRONX, NY

Registration Details

NPI Number
1922283787
Provider Type
Individual
Gender
Female
NPI Issued
Dec 29, 2007 (18.626000460582 yrs)
Last Updated
Dec 29, 2007
License
287751-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
1705 HOE AVE APT 4B
BRONX, NY, 104605345
Browse NY providers · Browse ZIP 10460
Phone
3472240222
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in BRONX, NY

Name Credential NPI
MS. EVA GODOY MILLAN CASAC 1124193362
MS. SHAUNNA OLSON-IMPELLIZIERI LPN 1821163957
MS. GALE WILLIAMS L.P.N. 1174681225
MS. CATHY LYNN BOYKINS LPN 1710025440
MRS. LOAYA UNGER LPN 1699800458
NATASHA CAMPBELL LPN 1952438459
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.