Most Relevant Information
Provider Data
| NPI Number: | 1003686726 |
| Provider Name: | JESSICA FRANCES KELLY MED |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/03/2024 |
| Last Updated: | 01/03/2024 |
Provider Practice Location
292 CONCORD AVE
OCEANSIDE
NY
115725400
Practice Location Phone/Fax
| Phone: | 5167764486 |
| Fax: |
Provider Mailing Location
292 CONCORD AVE
OCEANSIDE
NY
115725400
Provider Mailing Phone/Fax
| Phone: | 5167764486 |
| Fax: |