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Individual
CARISSA M KELLY
Active
Individual
CARISSA M KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CNP211393
ME
363LA2200X
Adult Health Nurse Practitioner
084141-23
NH
363LA2200X
Adult Health Nurse Practitioner
4704397659
MI
363LA2200X
Adult Health Nurse Practitioner
7947
CT
363LA2200X
Adult Health Nurse Practitioner
APRN02561
RI
363LA2200X
Adult Health Nurse Practitioner
APRN11021654
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
F311018-01
NY
363LA2200X
Adult Health Nurse Practitioner
RN276785
MA
Other
Enumeration date
09/28/2010
Last updated
06/27/2025
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