Patricia Marie Kelly, MSED
Individual provider Active NPI Specialist · Calverton, NY
NPI 1023217098 · NPPES record last updated Aug 6, 2019
Key facts
- NPI
- 1023217098
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 66 Oak Dr
Calverton, NY 11933-1100 - Phone
- (631) 727-1705
- NPI assigned
- Jul 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
66 Oak Dr
Calverton, NY 11933-1100
Mailing address
66 Oak Dr
Calverton, NY 11933-1100
Phone (631) 727-1705
Other providers in Calverton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.