Dr. Kelly Andre Jarrett, M.D.
Family Medicine in Brooklyn, NY. Individual provider (NPI-1).
NPI number1124339080
StatusActive
Last updated in NPPESDec 12, 2024
Details
- NPI
- 1124339080
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kelly Andre Jarrett
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 25, 2010
- Certification date
- Dec 12, 2024
- Last updated
- Dec 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 281898 | NY | Yes |
| 2083A0300X | Preventive Medicine, Addiction Medicine | 281898 | NY | |
| 208M00000X | Hospitalist | 281898 | NY |
Practice location
455 Sutter AveBrooklyn, NY 11212-8111
Phone 718-765-6550 · Fax 347-620-9739
Mailing address
Po Box 746087Atlanta, GA 30374-6087
Phone 312-733-9730
Other practice locations
2006 Madison Ave
New York, NY 10035-1217
New York, NY 10035-1217
Phone 212-633-0815
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