Kelly A Klee-Medici

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN96286L Issued in PA

Practice address

118 Monahan Ave
Dunmore, PA 18512-1700

Phone

(570) 344-0183

NPI assigned

Mar 11, 2022

Last updated

Mar 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1093463861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MONAHAN AVE",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185121700",
            "telephone_number": "570-344-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MONAHAN AVE",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185121700",
            "telephone_number": "570-344-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEE-MEDICI",
        "first_name": "KELLY",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN96286L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Kempa
• Susan Marie Kenthack
• David Kessler, L.P.C.
• Keystone Medical Laboratories, L.P.
• Lori A. Kishel
• Mary Byrne Klem, MS RD LDN
• Dana E. Klush, DPM
• Jacqueline Kobal, CRNP
• George A. Kofel, R.PH.
• Karissa Nicole Kopf, PA-C

• Licensed Practical Nurse in Dunmore, PA
• Providers in Dunmore, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.