Doctor Name: | MS. ELIZABETH KATHLEEN KELLEY |
NPI Number: | 1194914499 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPN/RCS |
License Number: | 27691-031 |
Business Practice Address: | W4764 Hidden Pine Ln Shawano, WI - 541661650 |
Business Phone Number: | 9208582682 |
Business Fax Number: | 7157452957 |
Mailing Address: | W4764 Hidden Pine Ln, SHAWANO |
State: | WI |
Postal Code: | 541661650 |
Phone Number: | 9208582682 |
Fax Number: | 7157452957 |
NPI Enumeration Date: | 10/23/2007 |
NPI Last Update Date: | 10/23/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | 27691-031 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy 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. |