NPI 1083890503
Edward Lawrence Kelly, LPN
Practice location
- Address
- 711 S Vine St, Glenwood, IA 51534-1927
- Phone
- (712) 525-1344
- Mailing address
- 709 Washington Ave, Red Oak, IA 51566-2439
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1083890503
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 15 Jan 2008
- Record last updated
- 15 Jan 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.