KELLY ANN COLVIN LPN
NPI 1639385032
Licensed Practical Nurse in Canastota, NY

Active since May 15, 2007
1556 SCHOOLHEIMER RD, CANASTOTA, NY 13032(315) 361-4579 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Ann Colvin Lpn NPPES

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

KELLY ANN COLVIN LPN (NPI 1639385032) is an individual licensed practical nurse in Canastota, New York, licensed in New York (250696-1) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1639385032
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKELLY ANN COLVINCredential: LPN
Location Address1556 SCHOOLHEIMER RDCanastota, NY 13032-4095
Mailing Address1556 Schoolheimer RdCanastota, NY 13032-4095 · (315) 361-4579
Sole ProprietorYes
Enumeration DateMay 15, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1639385032 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 NY · 250696-1
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.
1556 SCHOOLHEIMER RD, Canastota, NY 13032

Other Identifiers 1

Medicaid02006724NY

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 Colvin's NPI number?

The NPI number for Kelly Colvin is 1639385032. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Kelly Colvin located?

Kelly Colvin practices at 1556 Schoolheimer Rd, Canastota, NY 13032. The listed phone number is (315) 361-4579.

What is Kelly Colvin'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 Colvin was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.