Individual provider · Type 1 NPI

Kelly Jensen

Specialist · Selden, NY

NPI number 1548645245 Active

Practice location

19 Mallard Ave
Selden, NY 11784-2309

Call (631) 579-0705 Map

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000X528908187
Specialist Primary 174400000X528908187 (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 1548645245

Kelly Jensen's National Provider Identifier is 1548645245, issued on Jul 23, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Selden, NY. The record was last updated on Jul 23, 2015.