Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sean Michael Kelly, GNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1215378740

Sean Michael Kelly, GNP-BC is a Gerontology Nurse Practitioner in New York, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2013
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Practice location Address checks out

1 Penn Plz Fl 8
New York, NY 10119-0899
Phone: (347) 213-8011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 550 Warrenville Rd, Lisle, IL 60532-4308 — (773) 332-9616

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 340958 (NY)

Record details

NPI number1215378740
Entity typeIndividual (Type 1)
GenderMale
Credentials GNP-BC
Sole proprietorNo
NPI enumeratedJuly 12, 2013
Last updated in NPPESOctober 29, 2020
Certification dateOctober 29, 2020

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