Individual
PATRICIA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
27 CLINTON RD, GARDEN CITY, NY 11530-6338
(516) 522-1853
Mailing address
27 CLINTON RD, GARDEN CITY, NY 11530-6338
(516) 522-1853
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
233840-1
NY
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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