KELLY BUSH
NPI 1730550724
Licensed Practical Nurse in Phoenix, NY
- Individual
- Female
- Licensed Practical Nurse
About KELLY BUSH
This page provides the complete NPI Profile along with additional information for Kelly Bush, a provider established in Phoenix, New York with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1730550724 assigned on October 2015. The practitioner's primary taxonomy code is 164W00000X with license number 284235 (NY). The provider is registered as an individual and her NPI record was last updated 11 years ago.
- NPI
- 1730550724 Verify this NPI
- Provider Name
- KELLY BUSH
- Other Name
- KELLY ANN BUSH LPN
- Other Name Type
- Professional Name (2)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 528 MAIN ST PHOENIX, NY 13135
- Location Phone
- (315) 341-8923
- Mailing Address
- 528 MAIN ST PHOENIX, NY 13135
- Mailing Phone
- (315) 341-8923
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-15-2015
- Last Update Date
- 10-15-2015
- Code Navigator
Location Map
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.
- 284235
- License State
- NY
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251E00000X | Agencies | Home Health | 284235 (NY) |
Reviews for KELLY BUSH
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730550724, enumerated as an "individual" on October 15, 2015.
The provider is located at 528 MAIN ST PHOENIX, NY 13135 and the phone number is (315) 341-8923.
Licensed Practical Nurse with taxonomy code 164W00000X.
