Individual provider · Type 1 NPI

Kathleen Kelly Lyon, NP

Adult Health Nurse Practitioner · East Setauket, NY

NPI number 1174783658 Active

Practice location

24 Research Way Ste 500
East Setauket, NY 11733-3470

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X301743 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1174783658

Kathleen Kelly Lyon, NP's National Provider Identifier is 1174783658, issued on Jun 10, 2008. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in East Setauket, NY. The record was last updated on Jun 10, 2008.