KELLY BROCK NPI 1992324578

NPI Information

NPI: 1992324578
Provider Name: KELLY BROCK
Classification: Nutritionist - 133NN1002X
Entity Type: Individual

Specialization: Nutrition, Education

Address:
1 IRELAND PL
AMITYVILLE, NY
ZIP 11701
Phone: (631) 514-9750
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Kelly Brock is a nutrition and education nutritionist in Amityville, NY. Kelly Brock NPI is 1992324578. 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:

1 IRELAND PL
AMITYVILLE, NY
ZIP 11701-955
Phone: (631) 514-9750

The enumeration date for this NPI number is 4/13/2020 and was last updated on 4/13/2020.

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	133NN1002X	Nutritionist	Nutrition, Education			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: 5/5/2024

NPI Synchronization or Removal

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