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Kelly Corinne Lackey
Licensed Practical Nurse in Trenton, Ohio
NPI 1184948424

Kelly Corinne Lackey is a Licensed Practical Nurse based in Trenton, OH. Kelly Corinne Lackey practices in Trenton, OH. The NPI Number for Kelly Corinne Lackey is 1184948424 and holds a License No. PN093691 (Ohio).

The current practice location address for Kelly Corinne Lackey is 4148 Oxford Middletown Rd, Trenton, OH and can be reached out via phone at 513-312-1935.

Location: 4148 Oxford Middletown Rd, Trenton, OH, 45067-9693
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184948424
Provider Name
Kelly Corinne Lackey
Credential
Provider Entity Type
Individual
Gender
Female
Address
4148 Oxford Middletown Rd, Trenton, OH, 45067-9693
Phone Number
513-312-1935
Fax Number
Provider Enumeration Date
03/16/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
16 05 OK
1184948424 05 OH
institution
Provider Business Practice Location Address Details
Address
4148 Oxford Middletown Rd
City
Trenton
State
Ohio
Zip
45067-9693
Phone Number
513-312-1935
Fax Number
person
Provider Business Mailing Address Details
Address
4148 Oxford Middletown Rd
City
Trenton
State
Ohio
Zip
45067-9693
Phone Number
513-312-1935
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN093691 (Ohio)
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 responsibilities vary among the states.
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