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Jasmine Kennerly, LMT
NPI 1740929470 · on the registry since 2022
Practice
- Address
- 100 Village Sq Apt 217
Glen Cove, NY 11542 - Phone
- (631) 624-4893
- Organisation at this address
- Village Square Rx Corp.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Also registered as
- 225700000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-06-01
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