Kelly, Michelle M.

Kelly, Michelle M. is an individual health care provider with primary practice located at Bryn Mawr Hospital 130 S. Bryn Mawr Ave., Bryn Mawr PA 19010-3121. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Kelly, Michelle M. can be contacted via phone (610) 526-3000.

Contact Information

Primary practice address
Bryn Mawr Hospital 130 S. Bryn Mawr Ave. Bryn Mawr PA 19010-3121
Phone: (610) 526-3000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN502390L Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X RN502390L Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X RN502390L Pennsylvania

Profile Details

NPI number 1932284023
LBN Legal business name Kelly, Michelle M.
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Sep 23rd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932284023 NPPES
Maryland MEDICAID 4038827
Maryland MEDICAID 20770

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