MEDICARE: YOLANDA DENISE KELLY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN150707	GA

General Provider Information

NPI Number	:	1558295824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOLANDA DENISE KELLY

Provider Business Mailing Address
First Line	:	8735 DUNWOODY PL # 5605
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30350-2995
Country	:	US
Telephone Number	:	770-354-8441
Fax Number	:

Provider Business Practice Location Address
First Line	:	3371 DOGWOOD DR UNIT 250
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30354-1568
Country	:	US
Telephone Number	:	770-354-8441
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2026
Last Update Date	:	06/10/2026

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Directions to “ YOLANDA DENISE KELLY ” Practice Location

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