| NPI | 1417015835 |
|---|---|
| Former Name | AMY C KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F303703) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F 303703) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2017-07-19 |