KELLY D COLLIFLOWER LPN
NPI 1083435861
Licensed Practical Nurse in Mount Vernon, OH

Active since October 23, 2024
8402 BLACKJACK RD, MOUNT VERNON, OH 43050(740) 399-8022 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly D Colliflower Lpn NPPES

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

KELLY D COLLIFLOWER LPN (NPI 1083435861) is an individual licensed practical nurse in Mount Vernon, Ohio, licensed in Ohio (103705) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1083435861
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKELLY D COLLIFLOWERCredential: LPN
Location Address8402 BLACKJACK RDMount Vernon, OH 43050-9193
Mailing Address8402 Blackjack RdMount Vernon, OH 43050-9193 · (740) 399-8022
Sole ProprietorYes
Enumeration DateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
NPI 1083435861 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 OH · 103705
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.

8402 BLACKJACK RD, Mount Vernon, OH 43050

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
8402 BLACKJACK RD
MOUNT VERNON, OH 43050
Social Worker
8402 BLACKJACK RD
MOUNT VERNON, OH 43050
Counselor (Professional)
8402 BLACKJACK RD
MOUNT VERNON, OH 43050
Social Worker (Clinical)
8402 BLACKJACK RD
MOUNT VERNON, OH 43050
Nurse Practitioner (Psychiatric/Mental Health)
8402 BLACKJACK RD
MOUNT VERNON, OH 43050
Social Worker
8402 BLACKJACK RD
MOUNT VERNON, OH 43050
Case Manager/Care Coordinator
8402 BLACKJACK RD
MOUNT VERNON, OH 43050
Nurse Practitioner (Psychiatric/Mental Health)
8402 BLACKJACK RD
MOUNT VERNON, OH 43050

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 Colliflower's NPI number?

The NPI number for Kelly Colliflower is 1083435861. It was assigned to this individual provider in the NPPES registry on October 23, 2024.

Where is Kelly Colliflower located?

Kelly Colliflower practices at 8402 Blackjack Rd, Mount Vernon, OH 43050. The listed phone number is (740) 399-8022.

What is Kelly Colliflower'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 Colliflower was last updated on October 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.