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General NPI Number Information
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NPI Number | 1417735333
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Entity Type | Individual
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Provider Name | KELLEY LYNN GILROY APRN
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Gender | Female
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Dates
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Enumeration Date | 09/20/2023
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 1260 SILAS DEANE HWY STE 101
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City | WETHERSFIELD
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State | CT
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Zip | 06109-4363
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Country | US
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Telephone | 860-545-7550
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Fax |
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Provider Business Mailing Address
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Address Line | 1260 SILAS DEANE HWY STE 101
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City | WETHERSFIELD
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State | CT
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Zip | 06109-4363
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Country | US
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Telephone | 860-545-7500
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 0024189963
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F311340
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 15135
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License Number State | CT
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