KELLY LYNN MATTINGLY - NPI 1083309991 - Licensed Practical Nurse in Shelbyville, TN

Q: What is Kelly Mattingly's NPI number?

The NPI number for Kelly Mattingly is 1083309991. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Q: What is Kelly Mattingly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Mattingly was last updated on April 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kelly Lynn Mattingly NPPES

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

KELLY LYNN MATTINGLY (NPI 1083309991) is an individual licensed practical nurse in Shelbyville, Tennessee, licensed in Tennessee (97700) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1083309991

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameKELLY LYNN MATTINGLY

Location Address140 DOVER STShelbyville, TN 37160-2776

Mailing Address140 Dover StShelbyville, TN 37160-2776 · (931) 684-3426

Phone(931) 684-3426

Sole ProprietorNo

Enumeration DateApril 6, 2023

NPPES CertifiedApril 6, 2023

✔ NPI 1083309991 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 TN · 97700

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.

140 DOVER ST, Shelbyville, TN 37160

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