Individual
MS. PATRICIA O. KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
756 MADISON AVE, ALBANY, NY 12208-3823
(518) 449-2514
(518) 449-2470
Mailing address
15 BURHANS PL, DELMAR, NY 12054-1201
(518) 449-2514
(518) 449-2470
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401154
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03012700
—
NY
Enumeration date
07/19/2008
Last updated
11/21/2017
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