Kelly C Brannon, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

144572 Issued in OH

Practice address

10556 Florida St
Aurora, OH 44202-8503

Phone

(440) 829-8525

NPI assigned

Dec 11, 2014

Last updated

Dec 11, 2014By 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": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1467850107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10556 FLORIDA ST",
            "city": "AURORA",
            "state": "OH",
            "postal_code": "442028503",
            "telephone_number": "440-829-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10556 FLORIDA ST",
            "city": "AURORA",
            "state": "OH",
            "postal_code": "442028503",
            "telephone_number": "440-829-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNON",
        "first_name": "KELLY",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-11",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "144572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teale K Bennett, DPT
• Susan Miller Bereck, R.PH
• Nicole Berquist
• Julie Best, PHARMD
• Karen Kotwica Bodnar, DC
• Kelly Bruno, COTA/L
• Devin Byard, DDS, MS
• C Aydin Cabi DDS Inc
• C Aydin Cabi, DDS
• Beau Calcei, D.D.S.

• Licensed Practical Nurse in Aurora, OH
• Providers in Aurora, 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 Dec 11, 2014; 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.