Kellisha Dawson
Licensed Practical Nurse in Middletown, New York
1770324410- Practice location
- 22 Euclid Ave, Middletown, NY 10940-6718
- Phone
- 845-381-8052
- Fax
- —
- Last updated
- June 5, 2024
Kellisha Dawson is a Licensed Practical Nurse based in Middletown, NY. Kellisha Dawson practices in Middletown, NY. The NPI Number for Kellisha Dawson is 1770324410 and holds a License No. 339231 (NY). The current practice location address for Kellisha Dawson is 22 Euclid Ave, Middletown, NY 10940-6718 and can be reached out via phone at 845-381-8052.
Provider Profile Details
- NPI Number
- 1770324410
- Provider Name
- Kellisha Dawson
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 22 Euclid Ave, Middletown, NY 10940-6718
- Phone Number
- 845-381-8052
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 5, 2024
- Last Update Date
- June 5, 2024
- Certification Date
- June 5, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 22 Euclid Ave
Middletown, NY 10940-6718 - City
- Middletown
- State
- New York
- Zip
- 10940-6718
- Phone Number
- 845-381-8052
Provider Business Mailing Address Details
- Address
- 22 Euclid Ave
Middletown, NY 10940-6718 - City
- Middletown
- State
- NY
- Zip
- 10940-6718
License Information
- License Number
- 339231
- License State
- NY
- Taxonomy
- Licensed Practical Nurse · 164W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kellisha Dawson?
The NPI number of Kellisha Dawson is 1770324410. It was assigned on June 5, 2024 and is currently active in the NPPES registry.
What is the specialty of Kellisha Dawson?
Kellisha Dawson is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in NY under license number 339231.
Where does Kellisha Dawson practice?
The practice location is 22 Euclid Ave, Middletown, NY 10940-6718. The office can be reached at 845-381-8052 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770324410 directly on the NPPES registry website.