Amanda Nicole Kjeldsen

NPI #1164312765 in East Islip, New York

Provider Information

NPI Number: 1164312765
Entity Type: Individual
Name: Amanda Nicole Kjeldsen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jul 7, 2025
Last Updated: Jul 7, 2025

Practice Location

Address: 109 KESWICK DR
City: East Islip
State: New York
ZIP Code: 11730-3404
Phone: (631) 235-3794

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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