KELLY DELANEY RN NPI 1669961330

NPI Information

  • NPI: 1669961330
  • Provider Name: KELLY DELANEY, RN
  • Classification: Registered Nurse - 163WA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 2357 W MASON ST
    GREEN BAY, WI
    ZIP 54303
  • Phone: (920) 337-6740

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NPI Details

Kelly Delaney, RN is an addiction (substance use disorder) registered nurse in Green Bay, WI. Kelly Delaney, RN NPI is 1669961330. 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:

2357 W MASON ST
GREEN BAY, WI
ZIP 54303-708
Phone: (920) 337-6740

The enumeration date for this NPI number is 5/8/2018 and was last updated on 5/2/2024.

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
1163W00000XRegistered Nurse243961-30WISCONSINNo
2164W00000XLicensed Practical Nurse322189-31WISCONSINNo
3163WA0400XRegistered NurseAddiction (Substance Use Disorder)243961-30WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
142030700MEDICAIDWISCONSIN

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: 11/21/2025

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