Individual provider · Type 1 NPI
Shantell Kelly
Prosthetic/Orthotic Supplier · Flushing, NY
Practice location
13320 Roosevelt Ave Apt 8D
Flushing, NY 11354-5203
Mailing address
13320 Roosevelt Ave
Flushing, NY 11354-5262
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None listed |
Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
About NPI 1326904202
Shantell Kelly's National Provider Identifier is 1326904202, issued on Jan 5, 2026. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Flushing, NY. The record was last updated on Jan 23, 2026.