Active NPIIndividual provider

Mr. Kevin G Kelly, APN, C

Nurse Practitioner in Wood Ridge, New Jersey

NPI Number1184762627
Practice location
331 North Ave, Wood Ridge, NJ 07075-2035
Fax
—
Last updated
August 13, 2007

Kevin George Kelly is a Nurse Practitioner based in Wood Ridge, NJ. Kevin George Kelly practices in Wood Ridge, NJ and has the professional credentials of APN, C. The NPI Number for Kevin George Kelly is 1184762627 and holds a License No. 26NN10175200 (NJ). The current practice location address for Kevin George Kelly is 331 North Ave, Wood Ridge, NJ 07075-2035 and can be reached out via phone at 201-939-0409.

Provider Profile Details

NPI Number
1184762627
Provider Name
Kevin George Kelly
Credential
APN, C
Provider Entity Type
Individual
Gender
Male
Address
331 North Ave, Wood Ridge, NJ 07075-2035
Phone Number
201-939-0409
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
February 4, 2007
Last Update Date
August 13, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
331 North Ave
Wood Ridge, NJ 07075-2035
Zip
07075-2035
Phone Number
201-939-0409
Wood Ridge, NJ 07075Get directions →

Provider Business Mailing Address Details

Address
331 North Ave
Wood Ridge, NJ 07075-2035
City
Wood Ridge
State
NJ
Zip
07075-2035
Phone Number
201-939-0409

License Information

License Number
26NN10175200
License State
NJ
Taxonomy
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Kevin G Kelly, APN, C?

The NPI number of Mr. Kevin G Kelly, APN, C is 1184762627. It was assigned on February 4, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Kevin G Kelly, APN, C?

Mr. Kevin G Kelly, APN, C is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in NJ under license number 26NN10175200.

Where does Mr. Kevin G Kelly, APN, C practice?

The practice location is 331 North Ave, Wood Ridge, NJ 07075-2035. The office can be reached at 201-939-0409 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184762627 directly on the NPPES registry website.

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