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KELLY KRISTINE TELLER
NPI 1588200729
Specialist in Bronx, NY

Active since November 22, 2019
1210 MAYFLOWER AVE # 3, BRONX, NY 10461(917) 284-3847 Get Directions Write a Review

NPPES record last updated: November 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Kristine Teller NPPES

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

KELLY KRISTINE TELLER (NPI 1588200729) is an individual specialist in Bronx, New York and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1588200729
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameKELLY KRISTINE TELLER
Location Address1210 MAYFLOWER AVE # 3Bronx, NY 10461-6110
Mailing Address159 W 1st StOswego, NY 13126-2045 · (315) 342-9575
Phone(917) 284-3847
Sole ProprietorNo
Enumeration DateNovember 22, 2019
✔ NPI 1588200729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1210 MAYFLOWER AVE # 3, Bronx, NY 10461
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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 Kelly Teller's NPI number?

The NPI number for Kelly Teller is 1588200729. It was assigned to this individual provider in the NPPES registry on November 22, 2019.

Where is Kelly Teller located?

Kelly Teller practices at 1210 Mayflower Ave # 3, Bronx, NY 10461. The listed phone number is (917) 284-3847.

What is Kelly Teller's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kelly Teller was last updated on November 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.