Individual provider · Type 1 NPI

Kelly A. Hallahan

Family Nurse Practitioner · Lindenhurst, NY

NPI number 1023986916 Active

Practice location

330 Granada Pkwy
Lindenhurst, NY 11757-6303

Call (631) 609-7102 Map

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X357795 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1023986916

Kelly A. Hallahan's National Provider Identifier is 1023986916, issued on Oct 23, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lindenhurst, NY. The record was last updated on Oct 23, 2025.