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

Kelly A. Matthews, LPN

Individual provider Licensed Practical Nurse · NPI 1578857892

Kelly A. Matthews, LPN is a Licensed Practical Nurse in Port Jefferson Station, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011
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

200 Sterling St
Port Jefferson Station, NY 11776-2530
Phone: (631) 946-3167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 3056061 (NY)

Record details

NPI number1578857892
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorYes
NPI enumeratedJune 3, 2011
Last updated in NPPESJanuary 25, 2013

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