KELLY OLIVA
NPI 1962948125
Licensed Practical Nurse in Ridge, NY
About Kelly Oliva NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY OLIVA (NPI 1962948125) is an individual licensed practical nurse in Ridge, New York, licensed in New York (325755) and active in the NPI registry since January 2017.
NPPES Registry Identity
Specialties & Licenses
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 Oliva's NPI number?
The NPI number for Kelly Oliva is 1962948125. It was assigned to this individual provider in the NPPES registry on January 12, 2017.
Where is Kelly Oliva located?
Kelly Oliva practices at 35 Panamoka Trl, Ridge, NY 11961. The listed phone number is (631) 566-4731.
What is Kelly Oliva'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 Oliva was last updated on January 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Kelly Oliva · NPI 1962948125
Licensed Practical Nurse provider in Ridge, New York. Individual provider, active in the CMS NPPES registry since January 12, 2017.
## Identity
- **NPI:** 1962948125 (Entity type: Individual)
- **Enumerated:** January 12, 2017
- **Primary specialty:** Licensed Practical Nurse · taxonomy 164W00000X
- **State license:** 325755 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 35 PANAMOKA TRL, Ridge, NY 11961-2270
- **Phone:** (631) 566-4731
## Record status
- **NPPES last updated:** January 12, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1962948125) · Data from the CMS NPPES public registry.