Individual
MRS. CHANA JUDITH KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
761 MAIN AVE STE 201, NORWALK, CT 06851-1080
(203) 583-5000
Mailing address
761 MAIN AVE STE 201, NORWALK, CT 06851-1080
(860) 716-8780
(203) 853-5001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7684
CT
363LP2300X
Primary Care Nurse Practitioner
7684
CT
Other
Enumeration date
07/17/2018
Last updated
10/08/2024
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