Doctor Name: | MRS. MARIA A. KELLEY |
NPI Number: | 1073634473 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | LG 0000390 |
Business Practice Address: | 316 Lantana Dr Hockessin, DE - 197078807 |
Business Phone Number: | 3022344400 |
Business Fax Number: | |
Mailing Address: | 1402 Carson Rd, WILMINGTON |
State: | DE |
Postal Code: | 198035116 |
Phone Number: | 3024771546 |
Fax Number: | |
NPI Enumeration Date: | 04/03/2007 |
NPI Last Update Date: | 04/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | LG 0000390 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | DE |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |