Provider Demographics
NPI:1083078034
Name:KELSEY, AIMEE (LPN)
Entity Type:Individual
Prefix:MS
First Name:AIMEE
Middle Name:
Last Name:KELSEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2183 LEHIGH STATION RD
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-2666
Mailing Address - Country:US
Mailing Address - Phone:585-955-3195
Mailing Address - Fax:585-424-4165
Practice Address - Street 1:2183 LEHIGH STATION RD
Practice Address - Street 2:
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-2666
Practice Address - Country:US
Practice Address - Phone:585-955-3195
Practice Address - Fax:585-424-4165
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-06
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY270084-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse