KELLY JENSEN
NPI 1548645245
Specialist in Selden, NY
About Kelly Jensen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY JENSEN (NPI 1548645245) is an individual specialist in Selden, New York, licensed in New York (528908187) and active in the NPI registry since July 2015.
NPPES Registry Identity
Specialties & Licenses 2
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 Kelly Jensen's NPI number?
The NPI number for Kelly Jensen is 1548645245. It was assigned to this individual provider in the NPPES registry on July 23, 2015.
Where is Kelly Jensen located?
Kelly Jensen practices at 19 Mallard Ave, Selden, NY 11784. The listed phone number is (631) 579-0705.
What is Kelly Jensen'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 Kelly Jensen was last updated on July 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.
# Kelly Jensen · NPI 1548645245
Specialist provider in Selden, New York. Individual provider, active in the CMS NPPES registry since July 23, 2015.
## Identity
- **NPI:** 1548645245 (Entity type: Individual)
- **Enumerated:** July 23, 2015
- **Primary specialty:** Specialist · taxonomy 174400000X
- **State license:** 528908187 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 19 MALLARD AVE, Selden, NY 11784-2309
- **Phone:** (631) 579-0705
## Record status
- **NPPES last updated:** July 23, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1548645245) · Data from the CMS NPPES public registry.