KELLY A GILMORE LPN
NPI 1740331214
Licensed Practical Nurse in Canastota, NY

Active since January 13, 2007
506 NEW BOSTON ST, CANASTOTA, NY 13032(315) 697-5460 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly A Gilmore Lpn NPPES

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

KELLY A GILMORE LPN (NPI 1740331214) is an individual licensed practical nurse in Canastota, New York, licensed in New York (246802) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1740331214
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKELLY A GILMORECredential: LPN
Location Address506 NEW BOSTON STCanastota, NY 13032-4386
Mailing Address348 Maple StOneida, NY 13421-2129 · (315) 363-7025
Sole ProprietorNo
Enumeration DateJanuary 13, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1740331214 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 · 246802
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.
506 NEW BOSTON ST, Canastota, NY 13032

Other Names 1

Former Name (1)Kelly A Brooks Lpn

Other Identifiers 1

Medicaid02121117NY

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 Gilmore's NPI number?

The NPI number for Kelly Gilmore is 1740331214. It was assigned to this individual provider in the NPPES registry on January 13, 2007. The provider is also known as Kelly A Brooks Lpn.

Where is Kelly Gilmore located?

Kelly Gilmore practices at 506 New Boston St, Canastota, NY 13032. The listed phone number is (315) 697-5460.

What is Kelly Gilmore'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 Gilmore 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.