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GRACE L KELSON LPN
NPI 1114456514
Licensed Practical Nurse in Riverdale, GA

Active since June 08, 2017
9142 CLUBHOUSE DR, RIVERDALE, GA 30274(404) 747-2575 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 8, 2017 (2 updates tracked since 2017).

About Grace L Kelson Lpn NPPES

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

GRACE L KELSON LPN (NPI 1114456514) is an individual licensed practical nurse in Riverdale, Georgia, licensed in Georgia (87808) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1114456514
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameGRACE L KELSONCredential: LPN
Location Address9142 CLUBHOUSE DRRiverdale, GA 30274
Mailing Address9142 Clubhouse DrRiverdale, GA 30274-4644 · (404) 747-2575
Phone(404) 747-2575
Sole ProprietorYes
Enumeration DateJune 8, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1114456514 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 GA · 87808
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.
9142 CLUBHOUSE DR, Riverdale, GA 30274
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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 Grace Kelson's NPI number?

The NPI number for Grace Kelson is 1114456514. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Where is Grace Kelson located?

Grace Kelson practices at 9142 Clubhouse Dr, Riverdale, GA 30274. The listed phone number is (404) 747-2575.

What is Grace Kelson'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 Grace Kelson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.