Kelly Ann Trenholm, LICENCED PRACTICAL N

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

252656 Issued in NY

Practice address

11 2ND Ave
Kingston, NY 12401-3225

Phone

(845) 339-2196

NPI assigned

Jun 11, 2007

Last updated

Jul 8, 2007By 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": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326241969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SECOND AVENUE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "12401",
            "telephone_number": "845-339-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 2ND AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013225",
            "telephone_number": "845-339-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRENHOLM",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LICENCED PRACTICAL N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "252656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joann M Treutler, LPN
• Mitzi Trevino, LPN
• Tri State Hearing (Beltone Hearing Aid Center)
• Patricia Trippe, LMHC
• Jill Marie Tschinkel, FNP

• Licensed Practical Nurse in Kingston, NY
• Providers in Kingston, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.