LUZ MILAGROS KELLY NP NPI 1164154803

NPI Information

  • NPI: 1164154803
  • Provider Name: LUZ MILAGROS KELLY, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 279 TROY RD
    RENSSELAER, NY
    ZIP 12144
  • Phone: (518) 286-1922

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NPI Details

Luz Milagros Kelly, NP is a family nurse practitioner in Rensselaer, NY with 6 years of experience. Luz Milagros Kelly, NP NPI is 1164154803. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

279 TROY RD
RENSSELAER, NY
ZIP 12144-518
Phone: (518) 286-1922
Fax: (518) 283-3225

The NPI 1164154803 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/30/2022 and was last updated on 11/17/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily11019185FLORIDANo
2363LF0000XNurse PractitionerFamily350197NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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