Individual
KRISTEN E DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
50 MIDDLE RD, HENRIETTA, NY 14467-9312
(585) 321-4350
(585) 321-4389
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-1900
(585) 922-1002
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310083
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06437470
—
NM
Enumeration date
12/30/2020
Last updated
08/31/2023
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