Individual
KELLY BATTOGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
21 WILLOW POND WAY STE 100, PENFIELD, NY 14526-2689
(585) 641-0399
Mailing address
2460 BROWNCROFT BLVD, ROCHESTER, NY 14625-1410
(585) 704-1130
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
360248
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02393584
—
NY
Enumeration date
01/20/2007
Last updated
01/12/2023
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