Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. NICOLE SHAVON KELLY, PHD
Active Sole ProprietorMS. NICOLE SHAVON KELLY, PHD is a Case Manager healthcare provider located in TIMONIUM, Maryland. NPI 1053849166 is currently active in the NPPES registry. Verify at CMS.
Case Manager · TIMONIUM, MD
Registration Details
- NPI Number
- 1053849166
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 2, 2017 (9.2078885578832 yrs)
- Last Updated
- Jul 21, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
11 MISTY WOOD CIR APT HTIMONIUM, MD, 210931338Browse MD providers · Browse ZIP 21093
- Phone
- 4439492008
- Primary Specialty
-
Case Manager
171M00000X
- Additional Specialty
- Assistant Behavior Analyst
- Additional Specialty
- Contractor
- Additional Specialty
- Community Health Worker
- Additional Specialty
- Occupational Therapy Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.