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

Kristen Marie Kelly

Individual provider Family Nurse Practitioner · NPI 1659085876

Kristen Marie Kelly is a Family Nurse Practitioner in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023

Practice location Address checks out

74 Oakdale St
Staten Island, NY 10308-2608
Phone: (917) 562-5411
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 349171 (NY)

Record details

NPI number1659085876
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 11, 2023
Last updated in NPPESJanuary 11, 2023
Certification dateJanuary 11, 2023

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