Susanne Marie Kelly, LPN is a
Licensed Practical Nurse based in Girard, Pennsylvania. Susanne Marie Kelly is licensed to practice in Pennsylvania (license number PN284401) and her current practice location is
907 Aurora Ave, Girard, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(814) 460-1464.
NPI number for Susanne Marie Kelly is 1093099814 and her current mailing address is 907 Aurora Ave, Girard, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093099814.
Provider's Profile
Full Name | Susanne Marie Kelly |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 907 Aurora Ave, Girard, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093099814
- Provider Enumeration Date: 09/29/2011
- Last Update Date: 09/29/2011
Medical Identifiers
Medical identifiers for Susanne Marie Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093099814 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | PN284401 (Pennsylvania) | 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. Susanne Marie Kelly 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 |
Susanne Marie Kelly, LPN 907 Aurora Ave, Girard, PA 16417-1241 Ph: (814) 460-1464 | Susanne Marie Kelly, LPN 907 Aurora Ave, Girard, PA 16417-1241 Ph: (814) 460-1464 |
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