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

Kelly Samuelson

Individual provider Licensed Vocational Nurse · NPI 1245050434

Kelly Samuelson is a Licensed Vocational Nurse in Placerville, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

935 Spring St # B
Placerville, CA 95667-4543
Phone: (530) 748-4709
Show map & directions

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

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence LN190947 (CA)

Record details

NPI number1245050434
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 14, 2024
Last updated in NPPESOctober 14, 2024
Certification dateOctober 14, 2024
Mailing address935 Spring St # B, Placerville, CA 95667-4543

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