Individual
CHERYL S KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
225 RABRO DRIVE EAST, HAUPPAUGE, NY 11788-4290
(631) 853-3020
(631) 853-3051
Mailing address
10 PATRICIA LN, PATCHOGUE, NY 11772-1419
(631) 447-1865
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
359837
NY
363LW0102X
Women's Health Nurse Practitioner
F420449
NY
Other
Enumeration date
11/02/2006
Last updated
09/11/2025
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