Individual provider · Type 1 NPI

Mary Catherine Kelly, PNP

Pediatric Nurse Practitioner · Riverside, CT

NPI number 1306058714 Active

Practice location

275 Riverside Ave
Riverside, CT 06878-2313

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XF381068-1 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1306058714

Mary Catherine Kelly, PNP's National Provider Identifier is 1306058714, issued on May 6, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Riverside, CT. The record was last updated on Jul 8, 2007.