Individual
MR. RICHARD KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
9115 RIDGE BLVD APT 4B, BROOKLYN, NY 11209-5724
(917) 500-1453
Mailing address
9115 RIDGE BLVD APT 4B, BROOKLYN, NY 11209-5724
(917) 500-1453
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/08/2017
Last updated
07/21/2022
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