MRS. KELLY DAHLMAN GROSSMAN LPN
NPI 1881097749
Licensed Practical Nurse in Roscoe, NY

Active since October 06, 2014

NPPES record last updated: October 6, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kelly Dahlman Grossman Lpn NPPES

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

MRS. KELLY DAHLMAN GROSSMAN LPN (NPI 1881097749) is an individual licensed practical nurse in Roscoe, New York, licensed in New York (290180-1) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1881097749
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. KELLY DAHLMAN GROSSMANCredential: LPN
Location Address15 PARK AVERoscoe, NY 12776-6414
Mailing Address15 Park AveRoscoe, NY 12776-6414 · (607) 498-5335
Sole ProprietorYes
Enumeration DateOctober 6, 2014
NPI 1881097749 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 · 290180-1
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.
15 PARK AVE, Roscoe, NY 12776

Other Names 1

Other Name (5)Ms. Kelly Dahlman 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 Dahlman Grossman's NPI number?

The NPI number for Kelly Dahlman Grossman is 1881097749. It was assigned to this individual provider in the NPPES registry on October 6, 2014. The provider is also known as Ms. Kelly Dahlman Lpn.

Where is Kelly Dahlman Grossman located?

Kelly Dahlman Grossman practices at 15 Park Ave, Roscoe, NY 12776. The listed phone number is (607) 498-5335.

What is Kelly Dahlman Grossman'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 Dahlman Grossman was last updated on October 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.