Kiersten Hali Salemi, LPN

Individual provider Active NPI Licensed Practical Nurse · Elbridge, NY

NPI 1376920306 · NPPES record last updated Apr 28, 2015

Key facts

NPI
1376920306
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
312057-1 (NY)
Practice address
1275 State Route 5 Lot 21
Elbridge, NY 13060-9655
Phone
(315) 406-8802
NPI assigned
Apr 28, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
312057-1NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 312057-1 NY Yes

Addresses

Primary practice location

1275 State Route 5 Lot 21
Elbridge, NY 13060-9655

Mailing address

1275 State Route 5 Lot 21
Elbridge, NY 13060-9655
Phone (315) 406-8802

Other providers in Elbridge, NY

All providers in Elbridge, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.