Provider Demographics
NPI:1629969142
Name:KELLEY, ROBIN D (APRN)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:D
Last Name:KELLEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 BURNETT DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-2205
Mailing Address - Country:US
Mailing Address - Phone:302-530-0327
Mailing Address - Fax:
Practice Address - Street 1:8 BURNETT DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-2205
Practice Address - Country:US
Practice Address - Phone:302-530-0327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-12
Last Update Date:2025-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP031670363LP0200X
DEL8-0010741363LP0808X
PASP030920363LP0808X
DELJ-0010472363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health