National Provider Identifier
Antoinette Lashawn Kelly
Antoinette Lashawn Kelly is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 298-8122.
Profile Overview
- NPI
- 1295154086
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- April 09, 2014
- Last Updated
- April 09, 2014
Practice Location
- 25 Wanda St
- Rochester, NY 14621-2417
Phone: (585) 298-8122
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1295154086
- Entity Type
- Individual
- Last Name
- Kelly
- First Name
- Antoinette
- Middle Name
- Lashawn
- Name Prefix
- MS.
- Mailing Street Address
- 25 Wanda St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-2417
- Mailing Country
- US
- Mailing Phone
- (585) 298-8122
- Practice Street Address
- 25 Wanda St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-2417
- Practice Country
- US
- Practice Phone
- (585) 298-8122
- Enumeration Date
- April 09, 2014
- Last Updated
- April 09, 2014
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)