Individual provider · Type 1 NPI

Kathleen Kelly, RN

Registered Nurse · Staten Island, NY

NPI number 1528918042 Active

Practice location

120 Mace St
Staten Island, NY 10306-1443

Call (917) 518-1355 Map

Other practice locations

888 Veterans Hwy Ste 310, Hauppauge, NY 11788-2940 · (631) 851-9473

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	335834 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1528918042

Kathleen Kelly, RN's National Provider Identifier is 1528918042, issued on Feb 3, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Staten Island, NY. The record was last updated on Feb 3, 2026.