Individual
MRS. LORI ANN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
31 FALCON DR, HAUPPAUGE, NY 11788-1204
(631) 361-7366
Mailing address
31 FALCON DR, HAUPPAUGE, NY 11788-1204
(631) 361-7366
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
209207-1
NY
Other
Enumeration date
12/17/2007
Last updated
12/17/2007
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