Individual
AMY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1323 ROUTE 9, SUITE 204, WAPPINGERS FALLS, NY 12590-4904
(845) 298-7022
(845) 298-7022
Mailing address
1323 ROUTE 9, SUITE 204, WAPPINGERS FALLS, NY 12590-4904
(845) 298-7022
(845) 298-7022
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F331971
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02043043
—
NY
Enumeration date
07/10/2006
Last updated
07/08/2007
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