National Provider Identifier
Diane M Kelly, N.P.
Diane M Kelly, N.P. is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Corning, NY and a listed phone number of (607) 936-4143.
Profile Overview
- NPI
- 1083783278
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- November 06, 2006
- Last Updated
- June 13, 2016
Practice Location
- 8 Denison Pkwy E
- Suite 201
- Corning, NY 14830-2638
Phone: (607) 936-4143
Mailing Address
- 571 Saint Josephs Blvd Fl 2
- Elmira, NY 14901-3230
Specialties
- Nurse Practitioner (363L00000X)
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1083783278
- Entity Type
- Individual
- Last Name
- Kelly
- First Name
- Diane
- Middle Name
- M
- Credential
- N.P.
- Mailing Street Address
- 571 Saint Josephs Blvd Fl 2
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3230
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Practice Street Address
- 8 Denison Pkwy E
- Practice Address Line 2
- Suite 201
- Practice City
- Corning
- Practice State
- NY
- Practice ZIP Code
- 14830-2638
- Practice Country
- US
- Practice Phone
- (607) 936-4143
- Practice Fax
- (607) 936-6836
- Enumeration Date
- November 06, 2006
- Last Updated
- June 13, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X), Family Nurse Practitioner (363LF0000X)
- Other Identifiers
- 02843209 (NY)