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

Mrs. Kelly Marie Ethridge, LPN

Individual provider Licensed Practical Nurse · NPI 1174863377

Mrs. Kelly Marie Ethridge, LPN is a Licensed Practical Nurse in Toledo, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2013
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

2440 Eastbrook Dr
Toledo, OH 43613-3927
Phone: (419) 708-7760
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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 PN. 148801-M-IV (OH)

Record details

NPI number1174863377
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorYes
NPI enumeratedFebruary 25, 2013
Last updated in NPPESFebruary 25, 2013

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