Individual
MRS. KRISTIN MARIE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
3001 EXPRESSWAY DR N STE 104, ISLANDIA, NY 11749-5301
(631) 758-3100
Mailing address
7 WOODLEIGH CT, HOLBROOK, NY 11741-2840
(631) 398-0678
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306529
NY
Other
Enumeration date
06/04/2014
Last updated
04/25/2018
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