Nurse Practitioner, Pediatrics
MARY KELLY pnp
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1306058714 · enumerated 2007-05-06 · record updated 2007-07-08. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 275 RIVERSIDE AVE, RIVERSIDE, CT, 06878-2313 (203) 698-7403 Google Maps Apple Maps OpenStreetMap
- Practice location 275 RIVERSIDE AVE, RIVERSIDE, CT, 06878-2313 (203) 698-7403 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License f381068-1 NY
In this directory
CT Fairfield County Riverside Nurse Practitioner, Pediatrics
Locations and evidence
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Practice location
RIVERSIDE, CT, 068782313
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.