MRS. Tara Marie Kelly, NP

NPI #1508503632 in Merrick, New York

Provider Information

NPI Number
1508503632
Entity Type
Individual
Name
MRS. Tara Marie Kelly, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
NP
Enumeration Date
May 19, 2022
Last Updated
Jun 4, 2022

Practice Location

Address
2119 MERRICK RD
ZIP Code
11566-4704
Phone
(516) 377-2820

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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