National Provider Identifier
Sherri Sue Kelly, LPN
Sherri Sue Kelly, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Burdett, NY and a listed phone number of (607) 351-4265.
Profile Overview
- NPI
- 1477165017
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- August 17, 2020
- Last Updated
- August 17, 2020
Practice Location
- 4214 Kelly Ln
- Burdett, NY 14818-9805
Phone: (607) 351-4265
Specialties
- Licensed Practical Nurse (164W00000X)
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1477165017
- Entity Type
- Individual
- Last Name
- Kelly
- First Name
- Sherri
- Middle Name
- Sue
- Credential
- LPN
- Provider Other Last Name
- Kelly
- Provider Other First Name
- Sherri
- Provider Other Middle Name
- Sue
- Provider Other Credential Text
- LPN
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 4214 Kelly Ln
- Mailing City
- Burdett
- Mailing State
- NY
- Mailing ZIP Code
- 14818-9805
- Mailing Country
- US
- Practice Street Address
- 4214 Kelly Ln
- Practice City
- Burdett
- Practice State
- NY
- Practice ZIP Code
- 14818-9805
- Practice Country
- US
- Practice Phone
- (607) 351-4265
- Enumeration Date
- August 17, 2020
- Last Updated
- August 17, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 2
- 193400000X Single Specialty Group
- Certification Date
- August 17, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X), Licensed Practical Nurse (164W00000X)