MRS. KEELY ANN ELROD LPN
NPI 1194536979
Licensed Practical Nurse in Caruthersville, MO

Active since January 20, 2025
501 WARD AVE, CARUTHERSVILLE, MO 63830(573) 479-3036(573) 922-5038 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Keely Ann Elrod Lpn NPPES

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

MRS. KEELY ANN ELROD LPN (NPI 1194536979) is an individual licensed practical nurse in Caruthersville, Missouri, licensed in Missouri (2018016287) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1194536979
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. KEELY ANN ELRODCredential: LPN
Location Address501 WARD AVECaruthersville, MO 63830-1661
Mailing Address501 Ward AveCaruthersville, MO 63830-1661 · (573) 479-3036 · Fax (573) 922-5038
Fax(573) 922-5038
Sole ProprietorNo
Enumeration DateJanuary 20, 2025
NPPES CertifiedJanuary 20, 2025
NPI 1194536979 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 MO · 2018016287
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.

501 WARD AVE, Caruthersville, MO 63830

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194536979, enumerated as an "individual" on January 20, 2025.

The provider is located at 501 WARD AVE CARUTHERSVILLE, MO 63830 and the phone number is (573) 479-3036.

Licensed Practical Nurse with taxonomy code 164W00000X.