Search › New York › 363LF0000X
Jacklyn Kelly
NPI 1700449261 · on the registry since 2019
Practice
- Address
- 17543 Hillside Ave
Jamaica, NY 11432 - Phone
- (646) 397-3343
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-04-19
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