MRS. KELLY LYNN BRAGAN LPN
NPI 1104017524
Licensed Practical Nurse in Liverpool, NY

Q: What is Kelly Bragan's NPI number?

The NPI number for Kelly Bragan is 1104017524. It was assigned to this individual provider in the NPPES registry on August 9, 2007.

Q: What is Kelly Bragan'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 Bragan was last updated on August 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 09, 2007

49 INGLESID LANE, LIVERPOOL, NY 13090(315) 461-4240 Get Directions Write a Review

NPPES record last updated: August 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mrs. Kelly Lynn Bragan Lpn NPPES

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

MRS. KELLY LYNN BRAGAN LPN (NPI 1104017524) is an individual licensed practical nurse in Liverpool, New York, licensed in New York (2621441) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1104017524

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMRS. KELLY LYNN BRAGANCredential: LPN

Location Address49 INGLESID LANELiverpool, NY 13090

Mailing Address49 Inglesid LaneLiverpool, NY 13090 · (315) 461-4240

Phone(315) 461-4240

Sole ProprietorYes

Enumeration DateAugust 9, 2007

✔ NPI 1104017524 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 · 2621441

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.

49 INGLESID LANE, Liverpool, NY 13090

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Other Identifiers 1

Medicaid02059754NY

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 Bragan's NPI number?

The NPI number for Kelly Bragan is 1104017524. It was assigned to this individual provider in the NPPES registry on August 9, 2007.

Where is Kelly Bragan located?

Kelly Bragan practices at 49 Inglesid Lane, Liverpool, NY 13090. The listed phone number is (315) 461-4240.

What is Kelly Bragan'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 Bragan was last updated on August 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.