Individual
KELLIE MCCRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
81 LAKE AVENUE, ROCHESTER, NY 14608
(585) 368-6901
(585) 546-5806
Mailing address
81 LAKE AVENUE, ROCHESTER, NY 14608
(585) 368-6901
(585) 546-5806
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
554297
NY
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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