Individual provider · Type 1 NPI

Michael Thomas Kelley, NP

Family Nurse Practitioner · Martinsburg, WV

NPI number 1447354147 Active

Practice location

99 Tavern Rd
Martinsburg, WV 25401-2890

Fax (304) 263-0984

Mailing address

PO Box 1146
Martinsburg, WV 25402-1146

Specialties and licenses

TaxonomyCodeLicense
Administrator Registered Nurse 163WA2000X170876 (MA)
Family Nurse Practitioner Primary 363LF0000X103811 (WV)

Family Nurse Practitioner: Definition to come...

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About NPI 1447354147

Michael Thomas Kelley, NP's National Provider Identifier is 1447354147, issued on Sep 12, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Martinsburg, WV. The record was last updated on Jul 17, 2019.