IndividualActive
Edward Kelly, LPN
NPI 1083890503 · Licensed Practical Nurse · Glenwood, IA
Provider details
- NPI number
- 1083890503
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- No
- License
- P12593 (IA)
Specialties & taxonomies
Nursing Service Providers
Practice location
711 S Vine St
Glenwood, IA 51534-1927
Phone: (712) 525-1344
Approximate (ZIP-level) locationGet directions
Mailing address
709 Washington Ave
Red Oak, IA 51566-2439
Registry dates
- Enumerated
- 2008-01-15
- Last updated
- 2008-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.