National Provider Identifier

Kelly Rae Shea, FNP

Kelly Rae Shea, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Orchard Park, NY and a listed phone number of (716) 474-6944.

NPI 1326710880Orchard Park, NYFamily Nurse Practitioner

Profile Overview

NPI
1326710880
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
October 04, 2021
Last Updated
October 04, 2021

Practice Location

  • 7 Kent Dr
  • Orchard Park, NY 14127-3522

Phone: (716) 474-6944

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1326710880
Entity Type
Individual
Last Name
Shea
First Name
Kelly
Middle Name
Rae
Name Prefix
MS.
Credential
FNP
Mailing Street Address
7 Kent Dr
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-3522
Mailing Country
US
Practice Street Address
7 Kent Dr
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-3522
Practice Country
US
Practice Phone
(716) 474-6944
Enumeration Date
October 04, 2021
Last Updated
October 04, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
October 04, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)