National Provider Identifier
Kelly C Johnson, LPN
Kelly C Johnson, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 456-8566.
Profile Overview
- NPI
- 1558078667
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- October 31, 2022
- Last Updated
- November 10, 2022
Practice Location
- 123 Falstaff RD
- Rochester, NY 14609-5538
Phone: (585) 456-8566
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1558078667
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Kelly
- Middle Name
- C
- Credential
- LPN
- Mailing Street Address
- 123 Falstaff RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14609-5538
- Mailing Country
- US
- Mailing Phone
- (585) 456-8566
- Practice Street Address
- 123 Falstaff RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14609-5538
- Practice Country
- US
- Practice Phone
- (585) 456-8566
- Enumeration Date
- October 31, 2022
- Last Updated
- November 10, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 10, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)