| Organization Name: | DESIREE D. NELSON-KELLY, DPM |
| NPI Number: | 1134343940 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DESIREE DIANE NELSON-KELLY (PODIATRIST) |
| Mailing Address: | 32 Tennyson St Carteret |
| State: | NJ US |
| Postal Code: | 070082330 |
| Phone Number: | 7325411118 |
| Fax Number: | 7325412111 |
| NPI Enumeration Date: | 04/12/2007 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | 25MD002581 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |