Individual provider · NPI-1

Brittany Kathleen Kelly, NP

Nurse Practitioner, Family · Babylon, NY

NPI number1912490467
StatusActive
Last updated in NPPESNov 23, 2022

Details

NPI
1912490467
Entity type
Individual (NPI-1)
Name
Brittany Kathleen Kelly
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Jun 10, 2018
Certification date
Nov 23, 2022
Last updated
Nov 23, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family343050NYYes

Practice location

61 Annuskemunnica Rd
Babylon, NY 11702-4402

Phone 631-374-6895

Mailing address

61 Annuskemunnica Rd
Babylon, NY 11702-4402

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