Individual ProviderDeborah KellyNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address465 Columbus Ave Ste 370, Valhalla, NY 10595-1336(914) 769-1600PECOS EnrollmentBased on the most recent information from CMS, provider Deborah Kelly 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 3 days ago.Profile DetailsProvider ID1205025814Provider TypeIndividualFull NameKelly, DeborahCredentialFNPGenderFemaleSole ProprietorNoEnumeration Date10/19/2007Last Updated10/27/2016Contact InformationPractice LocationPractice Address465 Columbus Ave Ste 370, Valhalla, NY 10595-1336Phone(914) 769-1600Fax(914) 769-1610Mailing LocationMailing Address465 Columbus Ave Ste 370, Valhalla, NY 10595-1336Phone(914) 769-1600Fax(914) 769-1610Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense330845New York