Individual
MS. CAROL ANN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
21 BLOOMINGDALE RD, WHITE PLAINS, NY 10605-1504
(914) 997-5855
(914) 682-6943
Mailing address
96 BAJART PL, YONKERS, NY 10705-2723
(914) 423-2644
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
331536
NY
Other
Enumeration date
09/02/2006
Last updated
01/14/2008
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