IndividualActive
Kelly Bragan, LPN
NPI 1104017524 · Licensed Practical Nurse · Liverpool, NY
Kelly Bragan, LPN is a Licensed Practical Nurse provider in Liverpool, NY (NPI 1104017524).
Provider details
- NPI number
- 1104017524
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2621441 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
49 Inglesid Lane
Liverpool, NY 13090
Phone: (315) 461-4240
Street-level locationGet directions
Mailing address
49 Inglesid Lane
Liverpool, NY 13090
Registry dates
- Enumerated
- 2007-08-09
- Last updated
- 2007-08-09
Frequently asked questions
- What is Kelly Bragan's NPI number?
- Kelly Bragan's National Provider Identifier (NPI) is 1104017524, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Bragan's specialty?
- Kelly Bragan is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Kelly Bragan located?
- Kelly Bragan's practice location on file with NPPES is 49 Inglesid Lane, Liverpool, NY 13090.
- What is Kelly Bragan's phone number?
- The practice phone number listed in the NPPES registry for Kelly Bragan is (315) 461-4240.
- Is Kelly Bragan's NPI active?
- Yes — Kelly Bragan's NPI (1104017524) is active in the NPPES registry as of the last update on 2007-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.