MARY CATHERINE KELLY PNP
NPI 1306058714
Nurse Practitioner - Pediatrics in Riverside, CT

Q: What is Mary Kelly's NPI number?

The NPI number for Mary Kelly is 1306058714. It was assigned to this individual provider in the NPPES registry on May 6, 2007.

Q: What is Mary Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Mary Kelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 06, 2007

275 RIVERSIDE AVE, RIVERSIDE, CT 06878(203) 698-7403 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary Catherine Kelly Pnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY CATHERINE KELLY PNP (NPI 1306058714) is an individual pediatrics provider in Riverside, Connecticut, licensed in New York (F381068-1) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1306058714

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMARY CATHERINE KELLYCredential: PNP

Location Address275 RIVERSIDE AVERiverside, CT 06878-2313

Mailing Address275 Riverside AveRiverside, CT 06878-2313 · (203) 698-7403

Phone(203) 698-7403

Sole ProprietorYes

Enumeration DateMay 6, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1306058714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in NY · F381068-1

275 RIVERSIDE AVE, Riverside, CT 06878

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Kelly's NPI number?

The NPI number for Mary Kelly is 1306058714. It was assigned to this individual provider in the NPPES registry on May 6, 2007.

Where is Mary Kelly located?

Mary Kelly practices at 275 Riverside Ave, Riverside, CT 06878. The listed phone number is (203) 698-7403.

What is Mary Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Mary Kelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.