Individual provider · Type 1 NPI
Kelly Killip, PNP
Pediatric Nurse Practitioner · New York, NY
NPI number
1104538354
Active
Practice location
One Gustave L. Levy Place, Box #1208
New York, NY 10029
Fax (212) 241-0168
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | F383505-01 (NY) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1104538354
Kelly Killip, PNP's National Provider Identifier is 1104538354, issued on Dec 20, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New York, NY. The record was last updated on Oct 6, 2026.