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Deactivated NPI 1104650290 Deactivated / Inactive NPI Male Practitioner

Kelvin Miru Muthoni

Licensed Practical Nurse • Worcester, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kelvin Muthoni has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 29, 2024
NPI Deactivation Date November 13, 2024
Total Practice Duration ~1 Years of Practice (2024 – 2024)

Professional Overview & Biography Verified Profile Summary

Kelvin Muthoni was a registered Licensed Practical Nurse practicing in Worcester, MA. Throughout an active medical career spanning 1 years, Kelvin Muthoni provided care at the practice location at 7 MOUNT PLEASANT ST APT 1R until profile deactivation on 2024-11-13.

Practice Location & Contact Primary Location

Practice Address

7 Mount Pleasant St Apt 1r

Worcester, MA 016101547

Telephone 5089631710

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Worcester, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
64 Specialists

Practicing in Worcester, MA (1557 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MA LN97210

An individual 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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 13, 2024

Record deactivated on November 13, 2024

NPI Profile Active August 29, 2024

NPI status registered as active in NPPES database

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Updated Practice Location August 29, 2024

Registered at 7 MOUNT PLEASANT ST APT 1R, WORCESTER, MA 016101547 (Tel: 5089631710)

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Updated Business Mailing Address August 29, 2024

Registered at 7 MOUNT PLEASANT ST APT 1R, WORCESTER, MA 016101547 (Tel: 5089631710)

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Provider Name / Credentials Updated August 29, 2024

Recorded as KELVIN MUTHONI

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2024

Licensed Practical Nurse (License #LN97210 in MA)

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Initial NPI Registration & Enumeration August 29, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104650290
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2024
Last Update: August 29, 2024
Deactivation Date: November 13, 2024

Mailing Address

7 Mount Pleasant St Apt 1r

Worcester, MA 016101547

Phone: 5089631710

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.