Individual
COLLEEN J KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
WALTON HIGH SCHOOL, 2780 RESERVOIR AVENUE, BRONX, NY 10468
(718) 696-4060
Mailing address
260 E 201ST ST, BRONX, NY 10458-1840
(718) 696-4060
(718) 562-4357
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F330661
NY
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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