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Mrs. Kelly L Eldredge
Licensed Practical Nurse in Canandaigua, New York
NPI 1760541619

Kelly L Eldredge is a Licensed Practical Nurse based in Victor, NY. Kelly L Eldredge practices in Canandaigua, NY. The NPI Number for Kelly L Eldredge is 1760541619 and holds a License No. 210532-1 (New York).

The current practice location address for Kelly L Eldredge is 5151 W Lake Rd, Canandaigua, NY and can be reached out via phone at 585-396-1602.

Location: 5151 W Lake Rd, Canandaigua, NY, 14564-9204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760541619
Provider Name
Kelly L Eldredge
Credential
Provider Entity Type
Individual
Gender
Female
Address
5151 W Lake Rd, Canandaigua, NY, 14564-9204
Phone Number
585-396-1602
Fax Number
Provider Enumeration Date
12/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02601210 05 NY
institution
Provider Business Practice Location Address Details
Address
5151 W Lake Rd
City
Canandaigua
State
New York
Zip
14424-8953
Phone Number
585-396-1602
Fax Number
person
Provider Business Mailing Address Details
Address
5151 W Lake Rd
City
Canandaigua
State
New York
Zip
14424-8953
Phone Number
585-396-1602
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
210532-1 (New York)
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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