Individual provider · Type 1 NPI
Kristen Marie Kelly
Family Nurse Practitioner · Staten Island, NY
NPI number
1659085876
Active
Practice location
74 Oakdale St
Staten Island, NY 10308-2608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 349171 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1659085876
Kristen Marie Kelly's National Provider Identifier is 1659085876, issued on Jan 11, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Staten Island, NY. The record was last updated on Jan 11, 2023.