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KELLIE LYNN BOWHALL LPN
NPI 1649598749
Licensed Practical Nurse in Watertown, NY

Active since May 13, 2010
650 STATE ST, WATERTOWN, NY 13601(315) 755-1251(315) 291-6601 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2024, Aug 1, 2024 (2 updates tracked since 2024).

About Kellie Lynn Bowhall Lpn NPPES

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

KELLIE LYNN BOWHALL LPN (NPI 1649598749) is an individual licensed practical nurse in Watertown, New York, licensed in New York (277760) and active in the NPI registry since May 2010. She maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1649598749
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKELLIE LYNN BOWHALLCredential: LPN
Location Address650 STATE STWatertown, NY 13601-2839
Mailing Address34048 Antwerp StPhiladelphia, NY 13673-4106 · (843) 704-6110
Phone(315) 755-1251
Fax(315) 291-6601
Sole ProprietorYes
Enumeration DateMay 13, 2010
Last NPPES UpdateSeptember 11, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
✔ NPI 1649598749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
Licenses✔ Licensed in NY · 277760✔ Licensed in SC · 55304
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.
650 STATE ST, Watertown, NY 13601
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Secondary Practice Location 1

Location 13 Main St.Philadelphia, NY 13673 · Phone (315) 642-3264

Other Providers at the Same Location NPPES 20

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

KENZIE AUGUSTUS SOCIAL WORKER
Social Worker
650 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 755-1251
MIRIAH KRISTINE QUESENBERRY
Registered Nurse
650 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 755-1251
ANGEL J SHEPHERD
Licensed Practical Nurse
650 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 755-1251
SABRINA KAY MADDEN RN
Registered Nurse
650 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 755-1251
YANILIS ARROYO CRUZ
Student in an Organized Health Care Education/Training Program
650 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 755-1251
NATALIE RIVELLLI MHC
Counselor (Mental Health)
650 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 755-1251
EMILY LANTRY
Peer Specialist
650 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 755-1251
ARIANNA ELISE BARKER I
Case Manager/Care Coordinator
650 STATE ST
WATERTOWN, NY 13601
Jefferson County (315) 755-1251

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 Kellie Bowhall's NPI number?

The NPI number for Kellie Bowhall is 1649598749. It was assigned to this individual provider in the NPPES registry on May 13, 2010.

Where is Kellie Bowhall located?

Kellie Bowhall practices at 650 State St, Watertown, NY 13601. The listed phone number is (315) 755-1251.

What is Kellie Bowhall'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 Kellie Bowhall was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.