Individual provider · Type 1 NPI

Scott Kelly

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1689518946 Active

Practice location

177 Fort Washington Ave
New York, NY 10032-3733

Call (212) 305-2500 Map

Mailing address

607 W 161st St Apt 4F
New York, NY 10032-5729

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1689518946

Scott Kelly's National Provider Identifier is 1689518946, issued on Apr 16, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Apr 16, 2026.