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Kelly Kennedy-Bauza
NPI 1174450191 · on the registry since 2026 · sole proprietor
Practice
- Address
- 43 Arista Dr
Dix Hills, NY 11746 - Phone
- (631) 683-4393
- Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-05-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York