Individual provider · Type 1 NPI

Kelly Anne McDonough

Student in an Organized Health Care Education/Training Program · Jamaica, NY

NPI number 1255577854 Active

Practice location

8460 Parsons Blvd
Jamaica, NY 11432-2544

Call (718) 298-6161 Map

Mailing address

1796 Bard Ln
East Meadow, NY 11554-1506

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000X1488232 (NY)
Student in an Organized Health Care Education/Training Program Primary 390200000X491578041 (NY)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1255577854

Kelly Anne McDonough's National Provider Identifier is 1255577854, issued on Jan 2, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jamaica, NY. The record was last updated on Jan 2, 2009.