Provider Demographics
NPI:1396918025
Name:EDMOND, KELYNNE J (GNP-BC)
Entity type:Individual
Prefix:MISS
First Name:KELYNNE
Middle Name:J
Last Name:EDMOND
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Gender:F
Credentials:GNP-BC
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Mailing Address - Street 1:498 KOSCIUSZKO ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11221-2308
Mailing Address - Country:US
Mailing Address - Phone:646-281-9006
Mailing Address - Fax:
Practice Address - Street 1:596 PROSPECT PL
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-4205
Practice Address - Country:US
Practice Address - Phone:718-362-1444
Practice Address - Fax:718-362-1445
Is Sole Proprietor?:No
Enumeration Date:2008-04-02
Last Update Date:2016-04-12
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Provider Licenses
StateLicense IDTaxonomies
NY340674363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology