Ms Kellie Lynette Wyant, LPN in Acra, NY - Licensed Practical Nurse

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.

Contact Information

	Ms Kellie Lynette Wyant, LPN
	586 Old Route 23, Acra, NY 12405-1223
	(518) 929-9259
	Not Available

Provider's Profile

Full Name	Ms Kellie Lynette Wyant
Gender	Female
Speciality	Licensed Practical Nurse
Location	586 Old Route 23, Acra, New York
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

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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Ms Kellie Lynette Wyant, LPN - Licensed Practical Nurse in Acra, NY