National Provider Identifier
Michele M Kelley
Michele M Kelley is listed in the NPPES registry with a primary specialty of Developmental Therapist in Watkins Glen, NY and a listed phone number of (607) 731-2176.
Profile Overview
- NPI
- 1467269886
- Provider Type
- Individual
- Primary Specialty
- Developmental Therapist
- Enumeration Date
- December 18, 2024
- Last Updated
- December 18, 2024
Practice Location
- 303 12Th St
- Watkins Glen, NY 14891-1627
Phone: (607) 731-2176
Mailing Address
- 735 E Lake RD Apt 15
- Penn Yan, NY 14527-9411
Specialties
- Developmental Therapist (222Q00000X)
Full Record
- NPI
- 1467269886
- Entity Type
- Individual
- Last Name
- Kelley
- First Name
- Michele
- Middle Name
- M
- Mailing Street Address
- 735 E Lake RD Apt 15
- Mailing City
- Penn Yan
- Mailing State
- NY
- Mailing ZIP Code
- 14527-9411
- Mailing Country
- US
- Mailing Phone
- (607) 731-2176
- Practice Street Address
- 303 12Th St
- Practice City
- Watkins Glen
- Practice State
- NY
- Practice ZIP Code
- 14891-1627
- Practice Country
- US
- Practice Phone
- (607) 731-2176
- Enumeration Date
- December 18, 2024
- Last Updated
- December 18, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 18, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Developmental Therapist (222Q00000X)