Kelly, Laura Jean

Kelly, Laura Jean is an individual health care provider with primary practice located at 650 Commack Rd , Commack NY 11725-5404. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Kelly, Laura Jean can be contacted via phone (631) 623-4000.

Contact Information

Primary practice address
650 Commack Rd Commack NY 11725-5404
Phone: (631) 623-4000
Fax: (631) 864-2787
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 7184206 New York
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 956635 New York

Profile Details

NPI number 1013203702
LBN Legal business name Kelly, Laura Jean
Credentials RD, CSO, CDN
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2011
Last updated Jun 22nd, 2011 - about 14 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.

Request for update

Popular Providers