Individual provider · Type 1 NPI

Sean Michael Kelly, GNP-BC

Gerontology Nurse Practitioner · New York, NY

NPI number 1215378740 Active

Practice location

1 Penn Plz Fl 8
New York, NY 10119-0899

Call (347) 213-8011 Map

Mailing address

120 W 106th St Ofc
New York, NY 10025-3923

Other practice locations

  • 550 Warrenville Rd, Suite 300, Lisle, IL 60532-4308 · (773) 332-9616

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X340958 (NY)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1215378740

Sean Michael Kelly, GNP-BC's National Provider Identifier is 1215378740, issued on Jul 12, 2013. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in New York, NY. The record was last updated on Oct 29, 2020.