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

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: July 19, 2026.

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
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

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 with the weekly NPPES data releases published by CMS.