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Mrs. Lisa M Kelley, RN
School Registered Nurse in Central Square, New York
NPI 1447504634

Lisa M Kelley is a School Registered Nurse based in West Monroe, NY and is specialized in School. Lisa M Kelley practices in Central Square, NY and has the professional credentials of RN. The NPI Number for Lisa M Kelley is 1447504634 and holds a License No. 51338-1 (New York).

The current practice location address for Lisa M Kelley is 93 Barker Rd, Central Square, NY and can be reached out via phone at 315-668-4253 and via fax at 315-668-4299.

Location: 93 Barker Rd, Central Square, NY, 13167-4167
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447504634
Provider Name
Lisa M Kelley
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
93 Barker Rd, Central Square, NY, 13167-4167
Phone Number
315-668-4253
Fax Number
315-668-4299
Provider Enumeration Date
11/09/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
51338-1 05 NY
institution
Provider Business Practice Location Address Details
Address
93 Barker Rd
City
Central Square
State
New York
Zip
13036-3460
Phone Number
315-668-4253
Fax Number
315-668-4299
person
Provider Business Mailing Address Details
Address
93 Barker Rd
City
Central Square
State
New York
Zip
13036-3460
Phone Number
315-668-4253
Fax Number
315-668-4299
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
School
Taxonomy
163WS0200X
License No.
51338-1 (New York)
Definition
Definition to come...
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