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Ms. Elizabeth Kathleen Kelley, LPN/RCS
Licensed Practical Nurse in Shawano, Wisconsin
NPI 1194914499

Elizabeth Kathleen Kelley is a Licensed Practical Nurse based in Shawano, WI. Elizabeth Kathleen Kelley practices in Shawano, WI and has the professional credentials of LPN/RCS. The NPI Number for Elizabeth Kathleen Kelley is 1194914499 and holds a License No. 27691-031 (Wisconsin).

The current practice location address for Elizabeth Kathleen Kelley is W4764 Hidden Pine Ln, Shawano, WI and can be reached out via phone at 920-858-2682 and via fax at 715-745-2957.

Location: W4764 Hidden Pine Ln, Shawano, WI, 54166-1650
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194914499
Provider Name
Elizabeth Kathleen Kelley
Credential
LPN/RCS
Provider Entity Type
Individual
Gender
Female
Address
W4764 Hidden Pine Ln, Shawano, WI, 54166-1650
Phone Number
920-858-2682
Fax Number
715-745-2957
Provider Enumeration Date
10/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38275700 05 WI
institution
Provider Business Practice Location Address Details
Address
W4764 Hidden Pine Ln
City
Shawano
State
Wisconsin
Zip
54166-1650
Phone Number
920-858-2682
Fax Number
715-745-2957
person
Provider Business Mailing Address Details
Address
W4764 Hidden Pine Ln
City
Shawano
State
Wisconsin
Zip
54166-1650
Phone Number
920-858-2682
Fax Number
715-745-2957
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
27691-031 (Wisconsin)
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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