Mary C Kelly, PNP
Nurse Practitioner, Pediatrics in Riverside, Connecticut
1306058714- Practice location
- 275 Riverside Ave, Riverside, CT 06878-2313
- Phone
- 203-698-7403
- Fax
- —
- Last updated
- July 8, 2007
Mary Catherine Kelly is a Nurse Practitioner, Pediatrics based in Riverside, CT. Mary Catherine Kelly practices in Riverside, CT and has the professional credentials of PNP. The NPI Number for Mary Catherine Kelly is 1306058714 and holds a License No. f381068-1 (NY). The current practice location address for Mary Catherine Kelly is 275 Riverside Ave, Riverside, CT 06878-2313 and can be reached out via phone at 203-698-7403.
Provider Profile Details
- NPI Number
- 1306058714
- Provider Name
- Mary Catherine Kelly
- Credential
- PNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 275 Riverside Ave, Riverside, CT 06878-2313
- Phone Number
- 203-698-7403
- Primary Taxonomy
- Nurse Practitioner, Pediatrics · 363LP0200X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 6, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 275 Riverside Ave
Riverside, CT 06878-2313 - City
- Riverside
- State
- Connecticut
- Zip
- 06878-2313
- Phone Number
- 203-698-7403
Provider Business Mailing Address Details
- Address
- 275 Riverside Ave
Riverside, CT 06878-2313 - City
- Riverside
- State
- CT
- Zip
- 06878-2313
- Phone Number
- 203-698-7403
License Information
- License Number
- f381068-1
- License State
- NY
- Taxonomy
- Nurse Practitioner, Pediatrics · 363LP0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mary C Kelly, PNP?
The NPI number of Mary C Kelly, PNP is 1306058714. It was assigned on May 6, 2007 and is currently active in the NPPES registry.
What is the specialty of Mary C Kelly, PNP?
Mary C Kelly, PNP is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in NY under license number f381068-1.
Where does Mary C Kelly, PNP practice?
The practice location is 275 Riverside Ave, Riverside, CT 06878-2313. The office can be reached at 203-698-7403 (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 1306058714 directly on the NPPES registry website.