Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY BROCK
ActiveKELLY BROCK is a Nutrition, Education healthcare provider located in AMITYVILLE, New York. NPI 1992324578 is currently active in the NPPES registry. Verify at CMS.
Nutrition, Education · AMITYVILLE, NY
Registration Details
- NPI Number
- 1992324578
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 13, 2020 (6.1935505595124 yrs)
- Last Updated
- Apr 13, 2020
Practice Information
- Address
-
1 IRELAND PLAMITYVILLE, NY, 117012955Browse NY providers · Browse ZIP 11701
- Phone
- 6315149750
- Primary Specialty
-
Nutrition, Education
133NN1002X
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.