Active NPIIndividual provider

Kathleen M Kelly, NP-C

Nurse Practitioner, Adult Health in Montville, New Jersey

NPI Number1679758130
Practice location
137 Main RD, Suite 200, Montville, NJ 07045-9231
Fax
973-402-0508
Last updated
November 29, 2010

Kathleen Mary Kelly is a Nurse Practitioner, Adult Health based in Montville, NJ. Kathleen Mary Kelly practices in Montville, NJ and has the professional credentials of NP-C. The NPI Number for Kathleen Mary Kelly is 1679758130 and holds a License No. pending (NJ). The current practice location address for Kathleen Mary Kelly is 137 Main RD, Suite 200, Montville, NJ 07045-9231 and can be reached out via phone at 973-402-0025 and via fax at 973-402-0508.

Provider Profile Details

NPI Number
1679758130
Provider Name
Kathleen Mary Kelly
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
137 Main RD, Suite 200, Montville, NJ 07045-9231
Phone Number
973-402-0025
Fax Number
973-402-0508
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
No
Provider Enumeration Date
January 3, 2008
Last Update Date
November 29, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
137 Main RD
Suite 200
Montville, NJ 07045-9231
Zip
07045-9231
Phone Number
973-402-0025
Fax Number
973-402-0508
Montville, NJ 07045Get directions →

Provider Business Mailing Address Details

Address
137 Main RD
Suite 200
Montville, NJ 07045-9231
City
Montville
State
NJ
Zip
07045-9231
Phone Number
973-402-0025
Fax Number
973-402-0508

License Information

License Number
pending
License State
NJ
Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X · 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 Kathleen M Kelly, NP-C?

The NPI number of Kathleen M Kelly, NP-C is 1679758130. It was assigned on January 3, 2008 and is currently active in the NPPES registry.

What is the specialty of Kathleen M Kelly, NP-C?

Kathleen M Kelly, NP-C is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in NJ under license number pending.

Where does Kathleen M Kelly, NP-C practice?

The practice location is 137 Main RD, Suite 200, Montville, NJ 07045-9231. The office can be reached at 973-402-0025 (phone) or 973-402-0508 (fax).

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 1679758130 directly on the NPPES registry website.

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