National Provider Identifier
Kelli S Demorest- Clemons, LPN
Kelli S Demorest- Clemons, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Lockport, NY and a listed phone number of (716) 957-6386.
Profile Overview
- NPI
- 1679363436
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- May 07, 2025
- Last Updated
- May 07, 2025
Practice Location
- 7032 Wheeler RD
- Lockport, NY 14094-9418
Phone: (716) 957-6386
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1679363436
- Entity Type
- Individual
- Last Name
- Demorest- Clemons
- First Name
- Kelli
- Middle Name
- S
- Credential
- LPN
- Provider Other Last Name
- Clemons
- Provider Other First Name
- Kelli
- Provider Other Credential Text
- LPN
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 7032 Wheeler RD
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094-9418
- Mailing Country
- US
- Mailing Phone
- (716) 957-6386
- Mailing Fax
- (716) 957-6386
- Practice Street Address
- 7032 Wheeler RD
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-9418
- Practice Country
- US
- Practice Phone
- (716) 957-6386
- Practice Fax
- (716) 957-6386
- Enumeration Date
- May 07, 2025
- Last Updated
- May 07, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- May 07, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)