Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Kristine Teller

Individual provider Specialist · NPI 1588200729

Kelly Kristine Teller is a Specialist in Bronx, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019

Practice location Address checks out

1210 Mayflower Ave # 3
Bronx, NY 10461-6110
Phone: (917) 284-3847
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (NY)

Record details

NPI number1588200729
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 22, 2019
Last updated in NPPESNovember 22, 2019

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