Individual provider · Type 1 NPI

Mary Kate Kelly, NP

Nurse Practitioner · Middleburg Heights, OH

NPI number 1699053868 Active

Practice location

16600 W Sprague Rd, Suite 120
Middleburg Heights, OH 44130-6318

Fax (440) 826-0501

Mailing address

PO Box 1239
Troy, MI 48099-1239

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XRN209986 (OH)
Nurse Practitioner Primary 363L00000XCOA.12773-NP (OH)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1699053868

Mary Kate Kelly, NP's National Provider Identifier is 1699053868, issued on Jul 21, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Middleburg Heights, OH. The record was last updated on Apr 4, 2014.