Individual provider · Type 1 NPI
Kelley Ward
Family Nurse Practitioner · Great Neck, NY
NPI number
1730015686
Active
Practice location
611 Northern Blvd # 150
Great Neck, NY 11021-5207
Mailing address
113 Johnson St
Centerport, NY 11721-1223
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 797539 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | 360560 (NY) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1730015686
Kelley Ward's National Provider Identifier is 1730015686, issued on Jun 19, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Great Neck, NY. The record was last updated on Sep 22, 2026.