Deloisa I Kelley, PMHNP - Counselor in Canandaigua, NY

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Deloisa I Kelley, PMHNP is a Nurse Practitioner - Psychiatric/mental Health based in Canandaigua, New York. Deloisa I Kelley is licensed to practice in New York (license number 404488) and her current practice location is 42 N Main St, Canandaigua, New York. She can be reached at her office (for appointments etc.) via phone at (585) 919-0014.

NPI number for Deloisa I Kelley is 1134383946 and her current mailing address is 42 N Main St, Canandaigua, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134383946.

Contact Information

Deloisa I Kelley, PMHNP
42 N Main St,
Canandaigua, NY 14424-1446
(585) 919-0014
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameDeloisa I Kelley
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location42 N Main St, Canandaigua, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1134383946
  • Provider Enumeration Date: 07/11/2008
  • Last Update Date: 10/25/2022

Medical Identifiers

Medical identifiers for Deloisa I Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134383946NPI-NPPES
01420800MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 404488 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deloisa I Kelley is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Deloisa I Kelley, PMHNP
42 N Main St,
Canandaigua, NY 14424-1446

Ph: (585) 919-0014		Deloisa I Kelley, PMHNP
42 N Main St,
Canandaigua, NY 14424-1446

Ph: (585) 919-0014

Reviews and Comments


Nurse Practitioner in Canandaigua, NY


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