Provider Demographics
NPI:1346660453
Name:HOLSEY, KELLEE (LPN)
Entity Type:Individual
Prefix:
First Name:KELLEE
Middle Name:
Last Name:HOLSEY
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 1:33332 VINE ST APT 207H
Mailing Address - Street 2:
Mailing Address - City:WILLOWICK
Mailing Address - State:OH
Mailing Address - Zip Code:44095-3421
Mailing Address - Country:US
Mailing Address - Phone:440-510-8285
Mailing Address - Fax:
Practice Address - Street 1:33332 VINE ST APT 207H
Practice Address - Street 2:
Practice Address - City:WILLOWICK
Practice Address - State:OH
Practice Address - Zip Code:44095-3421
Practice Address - Country:US
Practice Address - Phone:440-510-8285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-16
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH151382164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse