National Provider Identifier

Shante Kelly, LPN

Shante Kelly, 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) 503-4855.

NPI 1558632943Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1558632943
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
January 18, 2012
Last Updated
January 18, 2012

Practice Location

  • 15 Metropolitan Dr
  • Rochester, NY 14620-4803

Phone: (585) 503-4855

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1558632943
Entity Type
Individual
Last Name
Kelly
First Name
Shante
Credential
LPN
Mailing Street Address
15 Metropolitan Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-4803
Mailing Country
US
Mailing Phone
(585) 503-4855
Practice Street Address
15 Metropolitan Dr
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-4803
Practice Country
US
Practice Phone
(585) 503-4855
Enumeration Date
January 18, 2012
Last Updated
January 18, 2012
Sex
Female
Sole Proprietor
Yes
Taxonomies
Licensed Practical Nurse (164W00000X)