HOLLY RAE KELLIS LPN
NPI 1891937587
Licensed Practical Nurse in Springfield, OH

Active since March 27, 2009
1414 GROVER ST, SPRINGFIELD, OH 45505(937) 206-1897 Get Directions Write a Review

NPPES record last updated: March 27, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Holly Rae Kellis Lpn NPPES

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

HOLLY RAE KELLIS LPN (NPI 1891937587) is an individual licensed practical nurse in Springfield, Ohio, licensed in Ohio (PN113181) and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1891937587
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameHOLLY RAE KELLISCredential: LPN
Location Address1414 GROVER STSpringfield, OH 45505-3925
Mailing Address1414 Grover StSpringfield, OH 45505-3925 · (937) 206-1897
Sole ProprietorYes
Enumeration DateMarch 27, 2009
NPI 1891937587 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 OH · PN113181
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.

1414 GROVER ST, Springfield, OH 45505

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891937587, enumerated as an "individual" on March 27, 2009.

The provider is located at 1414 GROVER ST SPRINGFIELD, OH 45505 and the phone number is (937) 206-1897.

Licensed Practical Nurse with taxonomy code 164W00000X.