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

MS. Mary Kelly

Individual provider Family Nurse Practitioner · NPI 1174924054

MS. Mary Kelly is a Family Nurse Practitioner in Whitestone, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014

Practice location Address checks out

14435 15th Ave
Whitestone, NY 11357-2407
Phone: (718) 746-7682
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 F-338914-1 (NY)

Record details

NPI number1174924054
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 10, 2014
Last updated in NPPESMay 19, 2021
Certification dateApril 27, 2021

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