person
Mr. Michael Thomas Kelley, NP
Family Nurse Practitioner in Martinsburg, West Virginia
NPI 1447354147

Michael Thomas Kelley is a Family Nurse Practitioner based in Martinsburg, WV and is specialized in Family. Michael Thomas Kelley practices in Martinsburg, WV and has the professional credentials of NP. The NPI Number for Michael Thomas Kelley is 1447354147 and holds a License No. 170876 (West Virginia).

The current practice location address for Michael Thomas Kelley is 99 Tavern Rd, Martinsburg, WV and can be reached out via phone at 304-263-4999 and via fax at 304-263-0984. You can also correspond with Michael Thomas Kelley through the mailing address at PO BOX 1146, MARTINSBURG, WV - 25402-1146 (mailing address contact number: 304-263-4999).

Location: 99 Tavern Rd, Martinsburg, WV, 25402-1146
person
Provider Profile Details
NPI Number
1447354147
Provider Name
Michael Thomas Kelley
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
99 Tavern Rd, Martinsburg, WV, 25402-1146
Phone Number
304-263-4999
Fax Number
304-263-0984
Provider Enumeration Date
09/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
99 Tavern Rd
City
State
Zip
25401-2890
Phone Number
304-263-4999
Fax Number
304-263-0984
person
Provider Business Mailing Address Details
Address
Po Box 1146
City
State
Zip
25402-1146
Phone Number
304-263-4999
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Administrator
Taxonomy
License No.
103811 (West Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
170876 (Massachusetts)
Definition
Definition to come...
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