Search › New York › 174400000X
Kelly Jensen
NPI 1548645245 · on the registry since 2015
Practice
- Address
- 19 Mallard Ave
Selden, NY 11784 - Phone
- (631) 579-0705
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Also registered as
- 171M00000X
- Licence states on file
- NY, NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-07-23
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