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KELLY GRAVES
NPI 1801203872
Licensed Practical Nurse in Medford, NY

Active since July 22, 2014
96 JAMAICA AVE, MEDFORD, NY 11763(631) 707-6065 Get Directions Write a Review

NPPES record last updated: July 22, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Graves NPPES

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

KELLY GRAVES (NPI 1801203872) is an individual licensed practical nurse in Medford, New York, licensed in New York (277185-1) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1801203872
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKELLY GRAVES
Location Address96 JAMAICA AVEMedford, NY 11763-3518
Mailing Address96 Jamaica AveMedford, NY 11763-3518 · (631) 707-6065
Phone(631) 707-6065
Sole ProprietorYes
Enumeration DateJuly 22, 2014
✔ NPI 1801203872 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 · 277185-1
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.
96 JAMAICA AVE, Medford, NY 11763
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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 Kelly Graves's NPI number?

The NPI number for Kelly Graves is 1801203872. It was assigned to this individual provider in the NPPES registry on July 22, 2014.

Where is Kelly Graves located?

Kelly Graves practices at 96 Jamaica Ave, Medford, NY 11763. The listed phone number is (631) 707-6065.

What is Kelly Graves'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 Graves was last updated on July 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.