National Provider Identifier

Nina Cecelia Kelly, LPN

Nina Cecelia Kelly, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 804-1027.

NPI 1972961886Buffalo, NYLicensed Practical Nurse

Profile Overview

NPI
1972961886
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
February 05, 2016
Last Updated
February 05, 2016

Practice Location

  • 29 Drexel RD
  • Buffalo, NY 14214-2801

Phone: (716) 804-1027

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1972961886
Entity Type
Individual
Last Name
Kelly
First Name
Nina
Middle Name
Cecelia
Credential
LPN
Provider Other Last Name
McCreary
Provider Other First Name
Nina
Provider Other Middle Name
C
Provider Other Name Prefix Text
Mrs.
Provider Other Credential Text
LPN
Provider Other Last Name Type Code
2
Mailing Street Address
29 Drexel RD
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14214-2801
Mailing Country
US
Mailing Phone
(716) 804-1027
Practice Street Address
29 Drexel RD
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14214-2801
Practice Country
US
Practice Phone
(716) 804-1027
Enumeration Date
February 05, 2016
Last Updated
February 05, 2016
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)