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Kelly Dowd, LPN

Licensed Practical Nurse in Selden, NY. Individual provider (NPI-1).

NPI number1366041998
StatusActive
Last updated in NPPESOct 24, 2020

Details

NPI
1366041998
Entity type
Individual (NPI-1)
Name
Kelly Dowd
Credential
LPN
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 24, 2020
Certification date
Oct 24, 2020
Last updated
Oct 24, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse330705-1NYYes

Practice location

89 Oakmont Ave
Selden, NY 11784-2928

Phone 631-605-1805

Mailing address

89 Oakmont Ave
Selden, NY 11784-2928

Phone 631-605-1805

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