Kelly Brock
Kelly Brock is a Nutrition Education Nutritionist in Amityville, New York. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1 Ireland PlAmityville, NY 11701-2955
Phone: (631) 514-9750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nutrition Education Nutritionist (primary) | Taxonomy 133NN1002X |
|---|
Record details
| NPI number | 1992324578 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 13, 2020 |
| Last updated in NPPES | April 13, 2020 |
| Certification date | April 13, 2020 |
| Mailing address | 351 44th St, Lindenhurst, NY 11757-2310 |