KIM SHANTAE KELLEY LPN
NPI 1922283787
Licensed Practical Nurse in Bronx, NY

Q: What is Kim Kelley's NPI number?

The NPI number for Kim Kelley is 1922283787. It was assigned to this individual provider in the NPPES registry on December 29, 2007.

Q: What is Kim Kelley's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kim Kelley was last updated on December 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since December 29, 2007

1705 HOE AVE APT 4B, BRONX, NY 10460(347) 224-0222 Get Directions Write a Review

NPPES record last updated: December 29, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kim Shantae Kelley Lpn NPPES

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

KIM SHANTAE KELLEY LPN (NPI 1922283787) is an individual licensed practical nurse in Bronx, New York, licensed in New York (287751-1) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1922283787

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameKIM SHANTAE KELLEYCredential: LPN

Location Address1705 HOE AVE APT 4BBronx, NY 10460-5345

Mailing Address1705 Hoe Ave Apt 4bBronx, NY 10460-5345 · (347) 224-0222

Phone(347) 224-0222

Sole ProprietorYes

Enumeration DateDecember 29, 2007

✔ NPI 1922283787 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 · 287751-1

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.

1705 HOE AVE APT 4B, Bronx, NY 10460

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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 Kim Kelley's NPI number?

The NPI number for Kim Kelley is 1922283787. It was assigned to this individual provider in the NPPES registry on December 29, 2007.

Where is Kim Kelley located?

Kim Kelley practices at 1705 Hoe Ave Apt 4B, Bronx, NY 10460. The listed phone number is (347) 224-0222.

What is Kim Kelley'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 Kim Kelley was last updated on December 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.