Individual
BRIDGET FITZGERALD KELLY
Active
Individual
BRIDGET FITZGERALD KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1039953
DC
363LF0000X
Family Nurse Practitioner
Primary
NP1039953
DC
Other
Enumeration date
05/26/2021
Last updated
08/30/2021
Update your record
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