TYLAR ELZABETH KENNEDY LPN
NPI 1457944464
Licensed Practical Nurse in Saint Louis, MO

Active since February 19, 2021
7524 CHANDLER AVE, SAINT LOUIS, MO 63136(573) 587-5442 Get Directions Write a Review

NPPES record last updated: February 19, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Licensed Practical Nurse

About TYLAR KENNEDY

This page provides the complete NPI Profile along with additional information for Tylar Kennedy, a provider established in Saint Louis, Missouri with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1457944464 assigned on February 2021. The practitioner's primary taxonomy code is 164W00000X with license number 2015025886 (MO). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1457944464 Verify this NPI
Provider Name
TYLAR ELZABETH KENNEDY LPN
Gender
Female
Entity Type
Individual
Location Address
7524 CHANDLER AVE SAINT LOUIS, MO 63136
Location Phone
(573) 587-5442
Mailing Address
7524 CHANDLER AVE SAINT LOUIS, MO 63136
Mailing Phone
(573) 587-5442
Is Sole Proprietor?
No
Enumeration Date
02-19-2021
Last Update Date
02-19-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
2015025886
License State
MO
Taxonomy Description
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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457944464, enumerated as an "individual" on February 19, 2021.

The provider is located at 7524 CHANDLER AVE SAINT LOUIS, MO 63136 and the phone number is (573) 587-5442.

Licensed Practical Nurse with taxonomy code 164W00000X.