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Jennifer Eileen Kelly
Specialist in Ronkonkoma, New York
NPI 1396386744

Jennifer Eileen Kelly is a Specialist based in Ronkonkoma, NY. Jennifer Eileen Kelly practices in Ronkonkoma, NY. The NPI Number for Jennifer Eileen Kelly is 1396386744 and holds a License No. (New York).

The current practice location address for Jennifer Eileen Kelly is 2354 Ocean Ave, Ronkonkoma, NY and can be reached out via phone at 516-698-9476.

Location: 2354 Ocean Ave, Ronkonkoma, NY, 11779-6578
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396386744
Provider Name
Jennifer Eileen Kelly
Credential
Provider Entity Type
Individual
Gender
Female
Address
2354 Ocean Ave, Ronkonkoma, NY, 11779-6578
Phone Number
516-698-9476
Fax Number
Provider Enumeration Date
10/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2354 Ocean Ave
City
Ronkonkoma
State
New York
Zip
11779-6578
Phone Number
516-698-9476
Fax Number
person
Provider Business Mailing Address Details
Address
2354 Ocean Ave
City
Ronkonkoma
State
New York
Zip
11779-6578
Phone Number
516-698-9476
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
834869 (New York)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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.
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