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Kelly Brunson

NPI 1528925625 · on the registry since 2026

Practice

Address
10 Russell Ct
Copiague, NY 11726
Phone
(347) 774-5069

Registry record

Primary taxonomy
171W00000X
171W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-08

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