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

Kelly Bush

Individual provider Licensed Practical Nurse · NPI 1730550724

Kelly Bush is a Licensed Practical Nurse in Phoenix, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015
Specialties on file
2

Practice location Address checks out

528 Main St
Phoenix, NY 13135-2056
Phone: (315) 341-8923
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 284235 (NY)
Home Health Agency Taxonomy 251E00000X · Licence 284235 (NY)

Record details

NPI number1730550724
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 15, 2015
Last updated in NPPESOctober 15, 2015

Other providers in Phoenix