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AMANDA NICOLE KJELDSEN
NPI 1164312765
Specialist in East Islip, NY

Active since July 07, 2025
109 KESWICK DR, EAST ISLIP, NY 11730(631) 235-3794 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amanda Nicole Kjeldsen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA NICOLE KJELDSEN (NPI 1164312765) is an individual specialist in East Islip, New York and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1164312765
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameAMANDA NICOLE KJELDSEN
Location Address109 KESWICK DREast Islip, NY 11730-3404
Mailing Address109 Keswick DrEast Islip, NY 11730-3404 · (631) 235-3794
Phone(631) 235-3794
Sole ProprietorYes
Enumeration DateJuly 7, 2025
NPPES CertifiedJuly 6, 2025
✔ NPI 1164312765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.
109 KESWICK DR, East Islip, NY 11730
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Kjeldsen's NPI number?

The NPI number for Amanda Kjeldsen is 1164312765. It was assigned to this individual provider in the NPPES registry on July 7, 2025.

Where is Amanda Kjeldsen located?

Amanda Kjeldsen practices at 109 Keswick Dr, East Islip, NY 11730. The listed phone number is (631) 235-3794.

What is Amanda Kjeldsen's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Amanda Kjeldsen was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.