Individual
MICHELLE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
UNIVERSITY OF CONNECTICUT HEALTH CTR, 263 FARMINGTON AVENUE, MC-1111, FARMINGTON, CT 06030-0001
(860) 679-8156
Mailing address
1707 PARK ST, PALMER, MA 01069-2101
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
001129
CT
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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