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

Kurt Mervin Ellison, LPN

Individual provider Licensed Practical Nurse · NPI 1669003711

Kurt Mervin Ellison, LPN is a Licensed Practical Nurse in West Palm Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020
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

1639 Forum Pl Ste 7
West Palm Beach, FL 33401-2330
Phone: (561) 712-8821
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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 PN5222714 (FL)

Record details

NPI number1669003711
Entity typeIndividual (Type 1)
GenderMale
Credentials LPN
Sole proprietorYes
NPI enumeratedJanuary 28, 2020
Last updated in NPPESJanuary 28, 2020
Certification dateJanuary 28, 2020

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