MS. Michele Ann Kelly, CPNPNPP
MS. Michele Ann Kelly, CPNPNPP is a Nurse Practitioner in Ronkonkoma, New York. Qualified in 1995, 31 years ago. Accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 31
- Licensed in
- NY
- In the registry since
- 2006
Practice location Address checks out
153 Lake Shore Rd Phoenix House Medical DeptRonkonkoma, NY 11779
Phone: (631) 471-5666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence F380749 (NY) |
|---|
Record details
| NPI number | 1457416737 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CPNPNPP |
| Sole proprietor | No |
| NPI enumerated | December 27, 2006 |
| Last updated in NPPES | July 8, 2007 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 1995 (31 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Ronkonkoma
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Mr. David Bucao Domingo, NP
3505 Veterans Memorial Hwy, Ronkonkoma, NY 11779 · (631) 676-7656
-
Michael S Gottlieb, FNP-BCANCCMSN
500 Peconic St 92A, Ronkonkoma, NY 11779-7100 · (631) 833-0696
-
David Hugo Johnson, NPC
3505 Veterans Memorial Hwy, Ronkonkoma, NY 11779 · (631) 676-7656
-
Amanda Nuzzi, NP
3505 Veterans Memorial Hwy Ste C, Ronkonkoma, NY 11779-7613 · (631) 676-7656