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

Kelly Lewis

Individual provider Specialist · NPI 1952664781

Kelly Lewis is a Specialist in Smithtown, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
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Practice location Address checks out

27 Wyandanch Blvd
Smithtown, NY 11787-3918
Phone: (631) 670-7580
Fax: (631) 630-6889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 027643001 (NY)

Record details

NPI number1952664781
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 18, 2012
Last updated in NPPESJune 18, 2012

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