Individual provider · Type 1 NPI

Kelli Anne Jennings

Specialist · Ronkonkoma, NY

NPI number 1669851093 Active

Practice location

90 Air Park Dr
Ronkonkoma, NY 11779-7360

Call (631) 580-4001 Map

Mailing address

83 Tremont Ave
Medford, NY 11763-3861

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X497254041 (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 1669851093

Kelli Anne Jennings's National Provider Identifier is 1669851093, issued on May 18, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Ronkonkoma, NY. The record was last updated on May 18, 2015.