Provider Demographics
NPI:1851698625
Name:SEHR, KELLY FAY (LPN)
Entity Type:Individual
Prefix:MS
First Name:KELLY
Middle Name:FAY
Last Name:SEHR
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:PO BOX 93
Mailing Address - Street 2:233 4TH AVENUE SOUTH
Mailing Address - City:BROWNTON
Mailing Address - State:MN
Mailing Address - Zip Code:55312
Mailing Address - Country:US
Mailing Address - Phone:320-582-2633
Mailing Address - Fax:
Practice Address - Street 1:233 4TH AVENUE SOUTH
Practice Address - Street 2:
Practice Address - City:BROWNTON
Practice Address - State:MN
Practice Address - Zip Code:55312
Practice Address - Country:US
Practice Address - Phone:320-582-2633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-14
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN050801-0164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse