LISA M KELLY

NEWARK, DE
NPI1316380462
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: DE  L10039633)
Additional Taxonomies363LP0200X Nurse Practitioner, Pediatrics
(Licence: PA  SP012767)
Enumeration Date2013-04-08
Last Update Date2022-04-12
Business Address
Mrs. LISA M KELLY CRNP
200 BIDDLE AVE STE 100
NEWARK, DE 19702-3967
Phone number: 302-836-7820
Mailing Address
Mrs. LISA M KELLY CRNP
PO BOX 191 PROVIDER ENROLLMENT
ROCKLAND, DE 19732-0191
Phone number: 302-651-4200
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