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Individual

DR. MARY CAROLINE KELLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1097 PROSPECT PL APT 1B, BROOKLYN, NY 11213-2141
(628) 800-4217
Mailing address
2061 KING COLLEGE RD, BRISTOL, TN 37620-2919
(628) 800-4217

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406358
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60580649
WA

Other

Enumeration date
11/16/2012
Last updated
05/13/2026
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