DR. JONATHAN MICHAEL KELLY DO NPI 1982165254

NPI Information

NPI: 1982165254
Provider Name: DR. JONATHAN MICHAEL KELLY, DO
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
259 1ST ST
MINEOLA, NY
ZIP 11501
Phone: (516) 663-0333
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DR. Jonathan Michael Kelly, DO is a student in an organized health care education training program in Mineola, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Jonathan Michael Kelly, DO NPI is 1982165254. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

259 1ST ST
MINEOLA, NY
ZIP 11501-957
Phone: (516) 663-0333

The enumeration date for this NPI number is 3/28/2019 and was last updated on 3/28/2019.

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	390200000X	Student in an Organized Health Care Education/Training Program				Yes

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: 11/14/2023

NPI Synchronization or Removal

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