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MS. KELLY M NOLAN
NPI 1023494168
Licensed Practical Nurse in Medford, NY

Active since July 30, 2015
2811 WATCHILL AVE, MEDFORD, NY 11763(631) 627-0059 Get Directions Write a Review

NPPES record last updated: July 30, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Kelly M Nolan NPPES

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

MS. KELLY M NOLAN (NPI 1023494168) is an individual licensed practical nurse in Medford, New York, licensed in New York (322373) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1023494168
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. KELLY M NOLAN
Location Address2811 WATCHILL AVEMedford, NY 11763-1953
Mailing Address2811 Watchill AveMedford, NY 11763-1953 · (631) 627-0059
Phone(631) 627-0059
Sole ProprietorYes
Enumeration DateJuly 30, 2015
✔ NPI 1023494168 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 · 322373
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.

2811 WATCHILL AVE, Medford, NY 11763
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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 Nolan's NPI number?

The NPI number for Kelly Nolan is 1023494168. It was assigned to this individual provider in the NPPES registry on July 30, 2015.

Where is Kelly Nolan located?

Kelly Nolan practices at 2811 Watchill Ave, Medford, NY 11763. The listed phone number is (631) 627-0059.

What is Kelly Nolan'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 Nolan was last updated on July 30, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.