JENNIFER EILEEN KELLY NPI 1396386744

NPI Information

NPI: 1396386744
Provider Name: JENNIFER EILEEN KELLY
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
2354 OCEAN AVE
RONKONKOMA, NY
ZIP 11779
Phone: (516) 698-9476
Get Directions

Jennifer Eileen Kelly is a specialist in Ronkonkoma, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Jennifer Eileen Kelly NPI is 1396386744. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2354 OCEAN AVE
RONKONKOMA, NY
ZIP 11779-578
Phone: (516) 698-9476

The enumeration date for this NPI number is 10/7/2019 and was last updated on 10/13/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		834869	NEW YORK	Yes
2	390200000X	Student in an Organized Health Care Education/Training Program				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »