| NPI | 1780155002 |
|---|---|
| Professional Name | MARCY KELLY |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRNS1068210) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA SP019663) |
| Enumeration Date | 2018-12-14 |
| Last Update Date | 2023-06-23 |