Kelly Lynn Bragan LPN

NPI 1104017524 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1104017524
Gender Female
Enumeration Date 08/09/2007
Last Updated 08/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
49 INGLESID LANE
LIVERPOOL NY, 13090, US
Phone (315) 461-4240
Fax
Business Location
49 INGLESID LANE
LIVERPOOL NY, 13090, US
Phone (315) 461-4240
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 2621441
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According to our database, Mrs. Kelly Lynn Bragan LPN NPI is 1104017524, taxonomy code is 164W00000X and license number is 2621441, license state is located at New York. Kelly Lynn Bragan LPN physically located at 49 Inglesid Lane, Liverpool NY, 13090. NPI Number Kelly Lynn Bragan LPN has the Individual type.

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1104017524 NPI number is provided on an as is basis without warranty of any kind. 1104017524 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Lynn Bragan LPN are for informational purposes only.