Individual
KELLY-ANN REDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032
(212) 305-5827
Mailing address
1165 E 49TH ST, BROOKLYN, NY 11234-1512
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
F382717-1
NY
Other
Enumeration date
08/23/2017
Last updated
03/17/2018
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