Evelyn Patricia Kelly, RN
Registered Nurse in Long Island City, NY. Individual provider (NPI-1).
NPI number1457627770
StatusActive
Last updated in NPPESMar 30, 2012
Details
- NPI
- 1457627770
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Evelyn Patricia Kelly
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 30, 2012
- Last updated
- Mar 30, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 408025-1 | NY | Yes |
Practice location
3711 21st AveLong Island City, NY 11105-1838
Phone 718-545-5890
Mailing address
3711 21st AveLong Island City, NY 11105-1838
Phone 718-545-5890
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