Kelly Edwards, LPN
Individual provider Active NPI Licensed Practical Nurse · Beaver, WV
NPI 1982811337 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1982811337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 18155 (WV)
- Practice address
- 175 Philpot Lane
Beaver, WV 25813 - Phone
- (304) 254-9262
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beckley Treatment Center, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 18155 | WV | Yes |
Addresses
Primary practice location
175 Philpot Lane
Beaver, WV 25813
Mailing address
885 Deer Mountain Dr
Princeton, WV 24740-7690
Phone (304) 487-8754
Other providers in Beaver, WV
- Gina Renae Dean
- Kenneth Gail Dilley
- Amanda Rene Duesing
- Janelle Carey Dunn
- Sherry L Duvall
- Mark Edwards
- Samuel Evans
- Brenda Fama
- Allison Farmer
- Fci Beckley
All providers in Beaver, WV · Licensed Practical Nurse in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.