Healthcare Provider Details

I. General information

NPI: 1568309961
Provider Name (Legal Business Name): KELLY PRESTON MSN, RN, CNE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2026
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 FOREST DR
MC MURRAY PA
15317-3129
US

IV. Provider business mailing address

103 FOREST DR
MC MURRAY PA
15317-3129
US

V. Phone/Fax

Practice location:
  • Phone: 412-995-8962
  • Fax:
Mailing address:
  • Phone: 412-995-8962
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberRN599163
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: