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

Kelly Kennedy-Bauza

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174450191

Kelly Kennedy-Bauza is a Student in an Organized Health Care Education/Training Program in Dix Hills, New York. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

43 Arista Dr
Dix Hills, NY 11746-4920
Phone: (631) 683-4393
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1174450191
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 5, 2026
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026

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