MARY KELLY RN
NPI 1417522715
Registered Nurse - Case Management in New York, NY
Active since May 20, 2021
About Mary Kelly Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY KELLY RN (NPI 1417522715) is an individual case management provider in New York, New York, licensed in New York (581847) and active in the NPI registry since May 2021.
NPPES Registry Identity
NPI1417522715
Entity TypeIndividualFemale
Primary Taxonomy163WC0400X
Provider Legal NameMARY KELLYCredential: RN
Location Address1 WEST ST APT 2918New York, NY 10004-1033
Mailing Address1 West St Apt 2918New York, NY 10004-1033 · (914) 439-4627
Phone(914) 439-4627
Sole ProprietorNo
Enumeration DateMay 20, 2021
NPPES CertifiedMay 20, 2021
✔ NPI 1417522715 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Case ManagementNursing Service Providers
Taxonomy Code163WC0400X
License✔ Licensed in NY · 581847
1 WEST ST APT 2918, New York, NY 10004
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417522715, enumerated as an "individual" on May 20, 2021.
The provider is located at 1 WEST ST APT 2918 NEW YORK, NY 10004 and the phone number is (914) 439-4627.
Registered Nurse with taxonomy code 163WC0400X and a focus in Case Management.