Individual provider · Type 1 NPI

Kelly M. Hislop

Specialist · Lindenhurst, NY

NPI number 1699024174 Active

Practice location

124 48th St
Lindenhurst, NY 11757-2017

Call (516) 353-3240 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

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 1699024174

Kelly M. Hislop's National Provider Identifier is 1699024174, issued on Aug 30, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lindenhurst, NY. The record was last updated on Aug 30, 2012.