KELLY BUSH
NPI 1730550724
Licensed Practical Nurse in Phoenix, NY

Q: What is Kelly Bush's NPI number?

The NPI number for Kelly Bush is 1730550724. It was assigned to this individual provider in the NPPES registry on October 15, 2015. The provider is also known as Kelly Ann Bush Lpn.

Q: What is Kelly Bush's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Bush was last updated on October 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since October 15, 2015

528 MAIN ST, PHOENIX, NY 13135(315) 341-8923 Get Directions Write a Review

NPPES record last updated: October 15, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Kelly Bush NPPES

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

KELLY BUSH (NPI 1730550724) is an individual licensed practical nurse in Phoenix, New York, licensed in New York (284235) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1730550724

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameKELLY BUSH

Location Address528 MAIN STPhoenix, NY 13135-2056

Mailing Address528 Main StPhoenix, NY 13135-2056 · (315) 341-8923

Phone(315) 341-8923

Sole ProprietorYes

Enumeration DateOctober 15, 2015

✔ NPI 1730550724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 284235

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.

Also ListedHome HealthTaxonomy 251E00000X · License 284235 (NY)

528 MAIN ST, Phoenix, NY 13135

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Other Names 1

Professional Name (2)Kelly Ann Bush Lpn

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 Bush's NPI number?

The NPI number for Kelly Bush is 1730550724. It was assigned to this individual provider in the NPPES registry on October 15, 2015. The provider is also known as Kelly Ann Bush Lpn.

Where is Kelly Bush located?

Kelly Bush practices at 528 Main St, Phoenix, NY 13135. The listed phone number is (315) 341-8923.

What is Kelly Bush'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 Bush was last updated on October 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.