Ms Kellie Lynette Wyant, LPN is a
Licensed Practical Nurse based in Acra, New York. Ms Kellie Lynette Wyant is licensed to practice in New York (license number 316276) and her current practice location is
586 Old Route 23, Acra, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 929-9259.
NPI number for Ms Kellie Lynette Wyant is 1730733809 and her current mailing address is Po Box 404, Stottville, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730733809.
Provider's Profile
| Full Name | Ms Kellie Lynette Wyant |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 586 Old Route 23, Acra, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1730733809
- Provider Enumeration Date: 07/28/2019
- Last Update Date: 07/28/2019
Medical Identifiers
Medical identifiers for Ms Kellie Lynette Wyant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730733809 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 316276 (New York) | 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. Ms Kellie Lynette Wyant 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 |
|---|
Ms Kellie Lynette Wyant, LPN
Po Box 404,
Stottville, NY 12172-0404
Ph: (518) 929-9259 | Ms Kellie Lynette Wyant, LPN
586 Old Route 23,
Acra, NY 12405-1223
Ph: (518) 929-9259 |
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