Individual
MRS. ANN M KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6602 74TH ST, MIDDLE VILLAGE, NY 11379-2230
(718) 894-4065
Mailing address
6602 74TH ST, MIDDLE VILLAGE, NY 11379-2230
(718) 894-4065
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
347165
NY
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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