JACQUELINE MARY KELLY

DANVILLE, WV
NPI1811651052
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: NY  381614)
Enumeration Date2021-10-25
Last Update Date2024-07-29
Business Address
JACQUELINE MARY KELLY PNP
300 4TH ST
DANVILLE, WV 25053-4632
Phone number: 304-369-1230
Mailing Address
JACQUELINE MARY KELLY PNP
271 FELLOWS AVE
SYRACUSE, NY 13210-2625
Phone number: 315-877-8055