Kellie Smart , LPN
Licensed Practical Nurse • Penn Yan, NY
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, Kellie Smart has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Kellie Smart, LPN was a registered Licensed Practical Nurse practicing in Penn Yan, NY. Throughout an active medical career spanning 7 years, Kellie Smart provided care at the practice location at 124 WALNUT ST until profile deactivation on 2024-07-31.
Practice Location & Contact Primary Location
124 Walnut St
Penn Yan, NY 145271363
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Penn Yan, NY
Practicing in Penn Yan, NY (23738 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
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
Record deactivated on July 31, 2024
NPI status registered as active in NPPES database
Registered at 124 WALNUT ST, PENN YAN, NY 145271363 (Tel: 3157599542)
Registered at 124 WALNUT ST, PENN YAN, NY 145271363 (Tel: 3157599542)
Recorded as KELLIE SMART, LPN
Licensed Practical Nurse (License #299970 in NY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
124 Walnut St
Penn Yan, NY 145271363
Phone: 3157599542
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