MRS. Shannon Kathleen Kelley, PMHNP, LCSW, CASAC is a psychiatric/mental health nurse practitioner in Syracuse, NY. MRS. Shannon Kathleen Kelley, PMHNP, LCSW, CASAC NPI is 1902089238. 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:
713 HARRISON ST
SYRACUSE, NY
ZIP 13210-305
Phone: (315) 464-7655
The NPI 1902089238 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 12/10/2007 and was last updated on 2/25/2021.