Individual provider · Type 1 NPI

Kelly O'Brien

Specialist · Medford, NY

NPI number 1417407933 Active

Practice location

1 Scouting Blvd
Medford, NY 11763-2220

Call (631) 297-3202 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X993240151 (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 1417407933

Kelly O'Brien's National Provider Identifier is 1417407933, issued on Oct 7, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Medford, NY. The record was last updated on Oct 7, 2016.