Individual ProviderKelly MinusNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3414 Church Ave, Brooklyn, NY 11203-2714(718) 630-2197PECOS EnrollmentBased on the most recent information from CMS, provider Kelly Minus is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1083922637Provider TypeIndividualFull NameMinus, KellyCredentialNPGenderFemaleSole ProprietorNoEnumeration Date9/16/2010Last Updated5/11/2023Contact InformationPractice LocationPractice Address3414 Church Ave, Brooklyn, NY 11203-2714Phone(718) 630-2197Fax(718) 940-2914Mailing LocationMailing Address3414 Church Ave, Brooklyn, NY 11203-2714Phone(718) 630-2197Fax(718) 940-2914Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense336486New York