MS. MICHELE KELLY, CPNP NPP
Nurse Practitioner
Active
Individual
NPI: 1457416737
Practice Address
153 LAKE SHORE RDPHOENIX HOUSE MEDICAL DEPT
Ronkonkoma, NY 11779
Phone: (631) 471-5666
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | Yes | F380749 (NY) |
Frequently Asked Questions
NPI 1457416737 is the National Provider Identifier for MS. MICHELE KELLY, CPNP NPP, a Nurse Practitioner provider located in Ronkonkoma, NY. This NPI was enumerated on December 27, 2006.
MS. MICHELE KELLY, CPNP NPP practices at 153 LAKE SHORE RD, PHOENIX HOUSE MEDICAL DEPT, Ronkonkoma, NY 11779.
Quick Facts
- NPI
- 1457416737
- Type
- Individual
- Enumerated
- Dec 27, 2006
- Last Updated
- Jul 8, 2007
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