Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER EILEEN KELLY
Active Sole ProprietorJENNIFER EILEEN KELLY is a Specialist healthcare provider located in RONKONKOMA, New York. NPI 1396386744 is currently active in the NPPES registry. Verify at CMS.
Specialist · RONKONKOMA, NY
Registration Details
- NPI Number
- 1396386744
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 7, 2019 (6.8379612770628 yrs)
- Last Updated
- Oct 13, 2020
- License
-
834869 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2354 OCEAN AVERONKONKOMA, NY, 117796578Browse NY providers · Browse ZIP 11779
- Phone
- 5166989476
- Primary Specialty
-
Specialist
174400000X
- Additional Specialty
- Specialist
Other Specialist Providers in RONKONKOMA, NY
| Name | Credential | NPI |
|---|---|---|
| MS. CHRISTINA M PANETTA | PT | 1679518617 |
| MR. RALPH J BARONE | MS | 1528113057 |
| JENNIFER FREEMAN | MSED | 1447397435 |
| MRS. MARIA FITZPATRICK | MA OTRL | 1598807463 |
| MS. LINDA FULLER-MILLER | MS | 1942459029 |
| MRS. HEATHER MARIE STINE | — | 1619238706 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.