Kelly Jeanne Brunson Valid NPI
Individual provider · Contractor · Copiague, NY
- NPI
- 1528925625
- Type
- Individual (Type 1)
- Primary specialty
- Contractor
- Specialty group
- Other Service Providers
- Taxonomy code
- 171W00000X
- License number
- NA (NY)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2026-01-08
- Last updated
- 2026-01-08
Practice location
10 Russell Ct
Copiague, NY 11726-1031
(347) 774-5069