KATHLEEN MARY KELLY NP-C
NPI 1679758130
Nurse Practitioner - Adult Health in Montville, NJ

Active since January 03, 2008
137 MAIN RD, SUITE 200, MONTVILLE, NJ 07045(973) 402-0025(973) 402-0508 Get Directions Write a Review

NPPES record last updated: November 29, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathleen Mary Kelly Np-c NPPES

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

KATHLEEN MARY KELLY NP-C (NPI 1679758130) is an individual adult health provider in Montville, New Jersey, licensed in New Jersey (PENDING) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1679758130
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKATHLEEN MARY KELLYCredential: NP-C
Location Address137 MAIN RD, SUITE 200Montville, NJ 07045-9231
Mailing Address137 Main Rd, Suite 200Montville, NJ 07045-9231 · (973) 402-0025 · Fax (973) 402-0508
Fax(973) 402-0508
Sole ProprietorNo
Enumeration DateJanuary 3, 2008
Last NPPES UpdateNovember 29, 2010
NPI 1679758130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NJ · PENDING
137 MAIN RD, Montville, NJ 07045

Other Identifiers 1

Medicare PIN154825N0QNJ

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
137 MAIN RD
MONTVILLE, NJ 07045
Family Medicine
137 MAIN RD, SUITE 200
MONTVILLE, NJ 07045
Physical Therapist
137 MAIN RD, SUITE 301
MONTVILLE, NJ 07045
Nurse Practitioner (Family)
137 MAIN RD, SUITE 200
MONTVILLE, NJ 07045
Physical Therapy Assistant
137 MAIN RD
MONTVILLE, NJ 07045
Nurse Practitioner (Family)
137 MAIN RD, SUITE 200
MONTVILLE, NJ 07045
Ophthalmology
137 MAIN RD
MONTVILLE, NJ 07045
Social Worker (Clinical)
137 MAIN RD, SUITE 100
MONTVILLE, NJ 07045

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 Kathleen Kelly's NPI number?

The NPI number for Kathleen Kelly is 1679758130. It was assigned to this individual provider in the NPPES registry on January 3, 2008.

Where is Kathleen Kelly located?

Kathleen Kelly practices at 137 Main Rd Suite 200, Montville, NJ 07045. The listed phone number is (973) 402-0025.

What is Kathleen Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Kathleen Kelly was last updated on November 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.