MICHELE ANN KELLY

RONKONKOMA, NY
NPI1457416737
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NY  F380749)
Enumeration Date2006-12-27
Last Update Date2007-07-08
Business Address
Ms. MICHELE ANN KELLY CPNP NPP
153 LAKE SHORE RD PHOENIX HOUSE MEDICAL DEPT
RONKONKOMA, NY 11779
Phone number: 631-471-5666
Mailing Address
Ms. MICHELE ANN KELLY CPNP NPP
PO BOX 631
MILLER PLACE, NY 11764
Phone number: 631-331-0511
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