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MRS. KELLY ANGEL LADD LPN
NPI 1861536369
Licensed Practical Nurse in Lacona, NY

Active since February 16, 2007
1019 COUNTY RTE 15, LACONA, NY 13083(315) 569-2719 Get Directions Write a Review

NPPES record last updated: March 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kelly Angel Ladd Lpn NPPES

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

MRS. KELLY ANGEL LADD LPN (NPI 1861536369) is an individual licensed practical nurse in Lacona, New York, licensed in New York (251564-1) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1861536369
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. KELLY ANGEL LADDCredential: LPN
Location Address1019 COUNTY RTE 15Lacona, NY 13083-3198
Mailing Address1019 County Rte 15Lacona, NY 13083-3198 · (315) 569-2719
Phone(315) 569-2719
Sole ProprietorYes
Enumeration DateFebruary 16, 2007
Last NPPES UpdateMarch 28, 2019
✔ NPI 1861536369 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 · 251564-1
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.
1019 COUNTY RTE 15, Lacona, NY 13083
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Other Names 1

Former Name (1)Mrs. Kelly Angel Banach Lpn

Other Identifiers 1

Medicaid01812308NY

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 Ladd's NPI number?

The NPI number for Kelly Ladd is 1861536369. It was assigned to this individual provider in the NPPES registry on February 16, 2007. The provider is also known as Mrs. Kelly Angel Banach Lpn.

Where is Kelly Ladd located?

Kelly Ladd practices at 1019 County Rte 15, Lacona, NY 13083. The listed phone number is (315) 569-2719.

What is Kelly Ladd'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 Ladd was last updated on March 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.