Individual
MR. MICHAEL FRANCIS KELLY
Active
Individual
MR. MICHAEL FRANCIS KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N., MS, PNP
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
480399
NY
363LP0200X
Pediatric Nurse Practitioner
381631
NY
Other
Enumeration date
05/18/2007
Last updated
09/11/2025
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