MS. ELIZABETH KATHLEEN KELLEY LPN/RCS
NPI 1194914499
Licensed Practical Nurse in Shawano, WI

Q: What is Elizabeth Kelley's NPI number?

The NPI number for Elizabeth Kelley is 1194914499. It was assigned to this individual provider in the NPPES registry on October 23, 2007. The provider is also known as Ms. Elizabeth Kathleen Kelley Lpn/Rcs.

Q: What is Elizabeth Kelley'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 Elizabeth Kelley was last updated on October 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 October 23, 2007

W4764 HIDDEN PINE LN, SHAWANO, WI 54166(920) 858-2682(715) 745-2957 Get Directions Write a Review

NPPES record last updated: October 23, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Elizabeth Kathleen Kelley Lpn/rcs NPPES

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

MS. ELIZABETH KATHLEEN KELLEY LPN/RCS (NPI 1194914499) is an individual licensed practical nurse in Shawano, Wisconsin, licensed in Wisconsin (27691-031) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1194914499

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMS. ELIZABETH KATHLEEN KELLEYCredential: LPN/RCS

Location AddressW4764 HIDDEN PINE LNShawano, WI 54166-1650

Mailing AddressW4764 Hidden Pine LnShawano, WI 54166-1650 · (920) 858-2682 · Fax (715) 745-2957

Phone(920) 858-2682

Fax(715) 745-2957

Sole ProprietorYes

Enumeration DateOctober 23, 2007

✔ NPI 1194914499 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 WI · 27691-031

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.

W4764 HIDDEN PINE LN, Shawano, WI 54166

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Other Names 1

Other Name (5)Ms. Elizabeth Kathleen Kelley Lpn/rcs

Other Identifiers 1

Medicaid38275700WI

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 Elizabeth Kelley's NPI number?

The NPI number for Elizabeth Kelley is 1194914499. It was assigned to this individual provider in the NPPES registry on October 23, 2007. The provider is also known as Ms. Elizabeth Kathleen Kelley Lpn/Rcs.

Where is Elizabeth Kelley located?

Elizabeth Kelley practices at W4764 Hidden Pine Ln, Shawano, WI 54166. The listed phone number is (920) 858-2682.

What is Elizabeth Kelley'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 Elizabeth Kelley was last updated on October 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.