Individual
MRS. MEREDITH ROSE KELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE., ROCHESTER, NY 14642-0001
(585) 275-2964
(585) 242-9733
Mailing address
601 ELMWOOD AVE BOX 635, ROCHESTER, NY 14642-0001
(585) 275-2964
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
268085
MA
363L00000X
Nurse Practitioner
Primary
383520
NY
363LP0200X
Pediatric Nurse Practitioner
RN268085
MA
Other
Enumeration date
11/04/2008
Last updated
08/16/2023
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