National Provider Identifier Database

KELLY A PEDERSEN, LPN – NPI #1023160215
Licensed Practical Nurse

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.


Contact Information

KELLY A PEDERSEN, LPN
190 FOXHOLLOW RD
RHINEBECK, NY12572
Phone: 845-876-4275
Fax:
Website:
Specialty Taxonomy Code
* Licensed Practical Nurse 164W00000X

* Indicates primary specialty

NPI Profile & details for KELLY A PEDERSEN

NPI Number 1023160215
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 01/17/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 239071-1
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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