MRS. LISA M KELLEY R.N.
NPI 1447504634
Registered Nurse - School in Central Square, NY

Active since November 09, 2012
93 BARKER RD, CENTRAL SQUARE, NY 13036(315) 668-4253(315) 668-4299 Get Directions Write a Review

NPPES record last updated: November 9, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Lisa M Kelley R.n. NPPES

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

MRS. LISA M KELLEY R.N. (NPI 1447504634) is an individual school provider in Central Square, New York, licensed in New York (51338-1) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1447504634
Entity TypeIndividualFemale
Primary Taxonomy163WS0200X
Provider Legal NameMRS. LISA M KELLEYCredential: R.N.
Location Address93 BARKER RDCentral Square, NY 13036-3460
Mailing Address259 Pinnacle RdWest Monroe, NY 13167-4167
Fax(315) 668-4299
Sole ProprietorNo
Enumeration DateNovember 9, 2012
NPI 1447504634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · SchoolNursing Service Providers
Taxonomy Code163WS0200X
License Licensed in NY · 51338-1
93 BARKER RD, Central Square, NY 13036

Other Identifiers 1

Medicaid51338-1NY

Other Providers at the Same Location NPPES 2

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

Registered Nurse
93 BARKER RD
CENTRAL SQUARE, NY 13036
Registered Nurse
93 BARKER RD
CENTRAL SQUARE, NY 13036

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447504634, enumerated as an "individual" on November 09, 2012.

The provider is located at 93 BARKER RD CENTRAL SQUARE, NY 13036 and the phone number is (315) 668-4253.

Registered Nurse with taxonomy code 163WS0200X and a focus in School.

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