Jennifer Eileen Kelly
Jennifer Eileen Kelly is a Student in an Organized Health Care Education/Training Program in Ronkonkoma, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
2354 Ocean AveRonkonkoma, NY 11779-6578
Phone: (516) 698-9476
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Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 834869 (NY) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1396386744 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 7, 2019 |
| Last updated in NPPES | October 13, 2020 |
| Certification date | October 13, 2020 |
| Mailing address | 2354 Ocean Ave, Ronkonkoma, NY 11779-6578 |
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