Individual provider · Type 1 NPI

Jennifer Eileen Kelly

Specialist · Ronkonkoma, NY

NPI number 1396386744 Active

Practice location

2354 Ocean Ave
Ronkonkoma, NY 11779-6578

Call (516) 698-9476 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Specialist Primary 174400000X834869 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1396386744

Jennifer Eileen Kelly's National Provider Identifier is 1396386744, issued on Oct 7, 2019. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Ronkonkoma, NY. The record was last updated on Oct 13, 2020.