MRS. KELLY MARIE ETHRIDGE LPN
NPI 1174863377
Licensed Practical Nurse in Toledo, OH

Q: What is Kelly Ethridge's NPI number?

The NPI number for Kelly Ethridge is 1174863377. It was assigned to this individual provider in the NPPES registry on February 25, 2013.

Q: What is Kelly Ethridge'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 Ethridge was last updated on February 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 February 25, 2013

2440 EASTBROOK DR, TOLEDO, OH 43613(419) 708-7760 Get Directions Write a Review

NPPES record last updated: February 25, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Kelly Marie Ethridge Lpn NPPES

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

MRS. KELLY MARIE ETHRIDGE LPN (NPI 1174863377) is an individual licensed practical nurse in Toledo, Ohio, licensed in Ohio (PN. 148801-M-IV) and active in the NPI registry since February 2013.

NPPES Registry Identity

NPI1174863377

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMRS. KELLY MARIE ETHRIDGECredential: LPN

Location Address2440 EASTBROOK DRToledo, OH 43613-3927

Mailing Address2440 Eastbrook DrToledo, OH 43613-3927 · (419) 708-7760

Phone(419) 708-7760

Sole ProprietorYes

Enumeration DateFebruary 25, 2013

✔ NPI 1174863377 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 · PN. 148801-M-IV

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.

2440 EASTBROOK DR, Toledo, OH 43613

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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 Kelly Ethridge's NPI number?

The NPI number for Kelly Ethridge is 1174863377. It was assigned to this individual provider in the NPPES registry on February 25, 2013.

Where is Kelly Ethridge located?

Kelly Ethridge practices at 2440 Eastbrook Dr, Toledo, OH 43613. The listed phone number is (419) 708-7760.

What is Kelly Ethridge'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 Ethridge was last updated on February 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.