Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Jeanne Brunson

Individual provider Contractor · NPI 1528925625

Kelly Jeanne Brunson is a Contractor in Copiague, New York. Licensed in New York. Registered with an NPI since 2026.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

10 Russell Ct
Copiague, NY 11726-1031
Phone: (347) 774-5069
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence NA (NY)

Record details

NPI number1528925625
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 8, 2026
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026

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