Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kellie Lynn Bowhall, LPN

Individual provider Licensed Practical Nurse · NPI 1649598749

Kellie Lynn Bowhall, LPN is a Licensed Practical Nurse in Watertown, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York and South Carolina.

Licensed in
NY, SC
In the registry since
2010
Specialties on file
2
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

650 State St
Watertown, NY 13601-2839
Phone: (315) 755-1251
Fax: (315) 291-6601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3 Main St., Philadelphia, NY 13673 — (315) 642-3264

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 277760 (NY)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 55304 (SC)

Record details

NPI number1649598749
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorYes
NPI enumeratedMay 13, 2010
Last updated in NPPESSeptember 11, 2024
Certification dateSeptember 11, 2024

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