Kelly Rafferty, LPN is a
Licensed Practical Nurse based in Abrams, Wisconsin. Kelly Rafferty is licensed to practice in Wisconsin (license number 302119-031) and her current practice location is
4690 Winding Creek Trl, Abrams, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 819-6197.
NPI number for Kelly Rafferty is 1265863906 and her current mailing address is 4690 Winding Creek Trl, Abrams, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265863906.
Provider's Profile
Full Name | Kelly Rafferty |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 4690 Winding Creek Trl, Abrams, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265863906
- Provider Enumeration Date: 12/05/2013
- Last Update Date: 12/05/2013
Medical Identifiers
Medical identifiers for Kelly Rafferty such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265863906 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 302119-031 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Rafferty is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly Rafferty, LPN 4690 Winding Creek Trl, Abrams, WI 54101-9576 Ph: () - | Kelly Rafferty, LPN 4690 Winding Creek Trl, Abrams, WI 54101-9576 Ph: (920) 819-6197 |
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