Kelley, Jennifer A

Kelley, Jennifer A is an individual health care provider with primary practice located at 790 Ridge Rd , Lackawanna NY 14218-1629. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Day Training/Habilitation Specialist, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Kelley, Jennifer A can be contacted via phone (716) 828-7550.

Contact Information

Primary practice address
790 Ridge Rd Lackawanna NY 14218-1629
Phone: (716) 828-7550
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1093220733
LBN Legal business name Kelley, Jennifer A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2017
Last updated Dec 8th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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