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KELLY ANN PEDERSEN LPN
NPI 1023160215
Licensed Practical Nurse in Rhinebeck, NY

Active since January 17, 2007
190 FOXHOLLOW RD, RHINEBECK, NY 12572(845) 876-4275 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Ann Pedersen Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY ANN PEDERSEN LPN (NPI 1023160215) is an individual licensed practical nurse in Rhinebeck, New York, licensed in New York (239071-1) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1023160215
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKELLY ANN PEDERSENCredential: LPN
Location Address190 FOXHOLLOW RDRhinebeck, NY 12572
Mailing Address5 Dogwood DrHighland, NY 12528-2443 · (845) 883-0366
Phone(845) 876-4275
Sole ProprietorNo
Enumeration DateJanuary 17, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1023160215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 239071-1
Definition
A licensed practical nurse 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.
190 FOXHOLLOW RD, Rhinebeck, NY 12572
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Pedersen's NPI number?

The NPI number for Kelly Pedersen is 1023160215. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Kelly Pedersen located?

Kelly Pedersen practices at 190 Foxhollow Rd, Rhinebeck, NY 12572. The listed phone number is (845) 876-4275.

What is Kelly Pedersen's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kelly Pedersen was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.