KELLY BECK NPI 1407206428

NPI Information

  • NPI: 1407206428
  • Provider Name: KELLY BECK
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 3842 MYSTIC MEADOWS LN
    WILLIAMSON, NY
    ZIP 14589
  • Phone: (585) 409-8027

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NPI Details

Kelly Beck is a licensed practical nurse in Williamson, NY. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Kelly Beck NPI is 1407206428. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3842 MYSTIC MEADOWS LN
WILLIAMSON, NY
ZIP 14589-549
Phone: (585) 409-8027

The enumeration date for this NPI number is 6/21/2016 and was last updated on 6/21/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1164W00000XLicensed Practical Nurse320512-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
130MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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