Kelly, Jennifer Eileen
Kelly, Jennifer Eileen is an sole proprietor health care provider with primary practice located at 2354 Ocean Ave , Ronkonkoma NY 11779-6578. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Kelly, Jennifer Eileen can be contacted via phone (516) 698-9476.Contact Information
Primary practice address
2354 Ocean Ave
Ronkonkoma NY 11779-6578
Phone: (516) 698-9476
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Other Service Providers / Specialist | 174400000X | 834869 | New York |
Profile Details
| NPI number | 1396386744 |
|---|---|
| LBN Legal business name | Kelly, Jennifer Eileen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 7th, 2019 |
| Last updated | Oct 13th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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