Kelly A Koreen, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

116388 Issued in OH

Practice address

2656 Eagle Point Dr
Madison, OH 44057-3448

Phone

(440) 417-2877

NPI assigned

Jan 12, 2010

Last updated

Jan 12, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263254400000",
    "number": "1083944102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2656 EAGLE POINT DR",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440573448",
            "telephone_number": "440-417-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2656 EAGLE POINT DR",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440573448",
            "telephone_number": "440-417-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOREEN",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-12",
        "last_updated": "2010-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "116388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte F Kister, RN
• Brittany Knight
• Ryan Marie Knight, LPN
• William Koenig, D.D.S.,M.S.D.
• Jenny Lynn Kohr, PT
• McKenzie Michael Kotnik, PHARMD
• Amy Kundrat, PT
• Ivah Kurzhals
• Donna Marie Kusar
• Richard James Kusar

• Licensed Practical Nurse in Madison, OH
• Providers in Madison, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.