KELLY RAFFERTY LPN
NPI 1265863906
Licensed Practical Nurse in Abrams, WI

Active since December 05, 2013
4690 WINDING CREEK TRL, ABRAMS, WI 54101(920) 819-6197 Get Directions Write a Review

NPPES record last updated: December 5, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Rafferty Lpn NPPES

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

KELLY RAFFERTY LPN (NPI 1265863906) is an individual licensed practical nurse in Abrams, Wisconsin, licensed in Wisconsin (302119-031) and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1265863906
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKELLY RAFFERTYCredential: LPN
Location Address4690 WINDING CREEK TRLAbrams, WI 54101-9576
Mailing Address4690 Winding Creek TrlAbrams, WI 54101-9576
Sole ProprietorYes
Enumeration DateDecember 5, 2013
NPI 1265863906 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 · 302119-031
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.
4690 WINDING CREEK TRL, Abrams, WI 54101

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 Rafferty's NPI number?

The NPI number for Kelly Rafferty is 1265863906. It was assigned to this individual provider in the NPPES registry on December 5, 2013.

Where is Kelly Rafferty located?

Kelly Rafferty practices at 4690 Winding Creek Trl, Abrams, WI 54101. The listed phone number is (920) 819-6197.

What is Kelly Rafferty'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 Rafferty was last updated on December 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.