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MS. KELLIE LYNETTE WYANT LPN
NPI 1730733809
Licensed Practical Nurse in Acra, NY

Active since July 28, 2019
586 OLD ROUTE 23, ACRA, NY 12405(518) 929-9259 Get Directions Write a Review

NPPES record last updated: July 28, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kellie Lynette Wyant Lpn NPPES

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

MS. KELLIE LYNETTE WYANT LPN (NPI 1730733809) is an individual licensed practical nurse in Acra, New York, licensed in New York (316276) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1730733809
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. KELLIE LYNETTE WYANTCredential: LPN
Location Address586 OLD ROUTE 23Acra, NY 12405-1223
Mailing AddressPo Box 404Stottville, NY 12172-0404 · (518) 929-9259
Phone(518) 929-9259
Sole ProprietorYes
Enumeration DateJuly 28, 2019
✔ NPI 1730733809 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 · 316276
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.
586 OLD ROUTE 23, Acra, NY 12405
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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 Wyant's NPI number?

The NPI number for Kellie Wyant is 1730733809. It was assigned to this individual provider in the NPPES registry on July 28, 2019.

Where is Kellie Wyant located?

Kellie Wyant practices at 586 Old Route 23, Acra, NY 12405. The listed phone number is (518) 929-9259.

What is Kellie Wyant'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 Wyant was last updated on July 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.