Individual
MS. NANCY COPELAND KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
25 PUTNAM GRN APT H, GREENWICH, CT 06830-6054
(203) 500-3140
Mailing address
24 BAYBERRY LN, REDDING, CT 06896-1828
(203) 500-3140
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/30/2010
Last updated
04/04/2016
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