MRS. KELLY LORRAINE EVANS RN
NPI 1326297482
Registered Nurse - Home Health in Syracuse, NY

Active since September 14, 2008
1540 GLENWOOD AVE, SYRACUSE, NY 13207(315) 476-1771 Get Directions Write a Review

NPPES record last updated: September 14, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Kelly Lorraine Evans Rn NPPES

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

MRS. KELLY LORRAINE EVANS RN (NPI 1326297482) is an individual home health provider in Syracuse, New York, licensed in New York (495840-1) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1326297482
Entity TypeIndividualFemale
Primary Taxonomy163WH0200X
Provider Legal NameMRS. KELLY LORRAINE EVANSCredential: RN
Location Address1540 GLENWOOD AVESyracuse, NY 13207-1011
Mailing Address105 Ruskin AveSyracuse, NY 13207-1324 · (315) 479-7983
Sole ProprietorYes
Enumeration DateSeptember 14, 2008
NPI 1326297482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Home HealthNursing Service Providers
Taxonomy Code163WH0200X
License Licensed in NY · 495840-1
1540 GLENWOOD AVE, Syracuse, NY 13207

Other Identifiers 1

Medicaid02701884NY

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
1540 GLENWOOD AVE
SYRACUSE, NY 13207

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326297482, enumerated as an "individual" on September 14, 2008.

The provider is located at 1540 GLENWOOD AVE SYRACUSE, NY 13207 and the phone number is (315) 476-1771.

Registered Nurse with taxonomy code 163WH0200X and a focus in Home Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.