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

Individual provider Community/Behavioral Health Agency · NPI 1639708191

Samantha Nicole Kelly, LVN is a Community/Behavioral Health Agency in El Cajon, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
Specialties on file
2
What do these letters mean?
LVN — Licensed Vocational Nurse
The same role as an LPN; the title used in California and Texas.

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Practice location Address checks out

1664 Broadway
El Cajon, CA 92021-5201
Phone: (619) 579-8685
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 684587 (CA)
Community/Behavioral Health Agency Taxonomy 251S00000X (CA)

Record details

NPI number1639708191
Entity typeIndividual (Type 1)
GenderFemale
Credentials LVN
Sole proprietorYes
NPI enumeratedApril 6, 2020
Last updated in NPPESApril 6, 2020
Certification dateApril 6, 2020

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