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Deactivated NPI 1265741466 Deactivated / Inactive NPI Female Practitioner

Kelly Walker , LPN

Licensed Practical Nurse • Buffalo, NY

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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, Kelly Walker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 05, 2010
NPI Deactivation Date January 06, 2025
Total Practice Duration ~15 Years of Practice (2010 – 2025)

Professional Overview & Biography Verified Profile Summary

Kelly Walker, LPN was a registered Licensed Practical Nurse practicing in Buffalo, NY. Throughout an active medical career spanning 15 years, Kelly Walker provided care at the practice location at 155 LAWN AVE until profile deactivation on 2025-01-06.

Practice Location & Contact Primary Location

Practice Address

155 Lawn Ave

Buffalo, NY 142071816

Telephone 7168752904
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Buffalo, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
636 Specialists

Practicing in Buffalo, NY (23738 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 NY 293274

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dilma Rodriguez , RN

Registered Nurse

NPI 1013284751

Registered Nurse

NPI 1013326040

Doctor of Pharmacy (Pharm.D.)

Fikirte Adella , PA

Physician Assistant

NPI 1023681137

Physician Assistant

Elsie Morales , LPN

Licensed Practical Nurse

NPI 1033538046

Licensed Practical Nurse

NPI 1063657591

Doctor of Medicine (M.D.), FACRRM, DCN

Dianna Young , LPN

Licensed Practical Nurse

NPI 1063721272

Licensed Practical Nurse

Career & Practice History Timeline

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

11 Historical Events
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NPI Profile Deactivated January 06, 2025

Record deactivated on January 06, 2025

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Updated Practice Location May 07, 2022

Registered at 346 SHEPARD AVE, KENMORE, NY 142171829 (Tel: 7162894379)

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Updated Business Mailing Address May 07, 2022

Registered at 346 SHEPARD AVE, BUFFALO, NY 142171829 (Tel: 7162894379)

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Provider Name / Credentials Updated May 07, 2022

Recorded as KELLY SHEVLET, RN

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2022

Registered Nurse (License #727908-01 in NY)

NPI Profile Active October 05, 2010

NPI status registered as active in NPPES database

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Updated Practice Location October 05, 2010

Registered at 155 LAWN AVE, BUFFALO, NY 142071816 (Tel: 7168752904)

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Updated Business Mailing Address October 05, 2010

Registered at 155 LAWN AVE, BUFFALO, NY 142071816 (Tel: 7168752904)

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Provider Name / Credentials Updated October 05, 2010

Recorded as KELLY WALKER, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2010

Licensed Practical Nurse (License #293274 in NY)

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Initial NPI Registration & Enumeration October 05, 2010

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: 1265741466
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2010
Last Update: October 05, 2010
Deactivation Date: January 06, 2025

Mailing Address

155 Lawn Ave

Buffalo, NY 142071816

Phone: 7168752904

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.