Individual provider · Type 1 NPI
Katelyn Kelly-Johnson
Adult Health Nurse Practitioner · New York, NY
NPI number
1760952162
Active
Practice location
1275 York Ave
New York, NY 10065-6007
Mailing address
15 North Ln
Glen Cove, NY 11542-2608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 308886 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1760952162
Katelyn Kelly-Johnson's National Provider Identifier is 1760952162, issued on Nov 28, 2018. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Nov 28, 2018.