NPI Profile for MICHAEL T KELLEY in MARTINSBURG, WV.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Administrator |
163WA2000X |
| NPI Number | 1447354147 |
|
| Status | Active | |
| Credentials | NP (Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 09/12/2006 | |
| Last updated | 07/17/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MICHAEL T KELLEY
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