Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY DOLORES DESESA, RN, CLT
Active Sole ProprietorKELLY DOLORES DESESA, RN, CLT is a 163WM1400X healthcare provider located in SAG HARBOR, New York. NPI 1407674369 is currently active in the NPPES registry. Verify at CMS.
163WM1400X · SAG HARBOR, NY
Registration Details
- NPI Number
- 1407674369
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 30, 2024 (1.9129004483859 yrs)
- Last Updated
- Sep 30, 2024
- Licenses
-
557727 (NY)557727 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
34 BAY STSAG HARBOR, NY, 119633104Browse NY providers · Browse ZIP 11963
- Phone
- 6319884717
- Primary Specialty
-
163WM1400X
163WM1400X
- Additional Specialty
- 163WM1400X
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.