Individual provider · Type 1 NPI

Kelly Nolan

Specialist · Bayport, NY

NPI number 1811550973 Active

Practice location

37 Tucker Dr
Bayport, NY 11705-1233

Call (631) 942-8084 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1811550973

Kelly Nolan's National Provider Identifier is 1811550973, issued on Apr 15, 2019. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bayport, NY. The record was last updated on Apr 15, 2019.