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KELLY BROCK
NPI 1992324578
Nutritionist - Nutrition, Education in Amityville, NY

Active since April 13, 2020
1 IRELAND PL, AMITYVILLE, NY 11701(631) 514-9750 Get Directions Write a Review

NPPES record last updated: April 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Brock NPPES

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

KELLY BROCK (NPI 1992324578) is an individual nutrition, education provider in Amityville, New York and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1992324578
Entity TypeIndividualFemale
Primary Taxonomy133NN1002X
Provider Legal NameKELLY BROCK
Location Address1 IRELAND PLAmityville, NY 11701-2955
Mailing Address351 44th StLindenhurst, NY 11757-2310 · (631) 514-9750
Phone(631) 514-9750
Sole ProprietorNo
Enumeration DateApril 13, 2020
NPPES CertifiedApril 13, 2020
✔ NPI 1992324578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNutritionist · Nutrition, EducationDietary & Nutritional Service Providers
Taxonomy Code133NN1002X
1 IRELAND PL, Amityville, NY 11701
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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 Kelly Brock's NPI number?

The NPI number for Kelly Brock is 1992324578. It was assigned to this individual provider in the NPPES registry on April 13, 2020.

Where is Kelly Brock located?

Kelly Brock practices at 1 Ireland Pl, Amityville, NY 11701. The listed phone number is (631) 514-9750.

What is Kelly Brock's specialty?

The primary specialty registered for this NPI is Nutritionist, specializing in Nutrition, Education, with taxonomy code 133NN1002X.

When was this NPI record last updated?

The NPPES record for Kelly Brock was last updated on April 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.