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Individual

MS. KRISTIE KEENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1415 PORTLAND AVE STE 245, ROCHESTER, NY 14621-3022
(585) 922-4715
(585) 922-3950
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-4715
(585) 922-3950

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
017293
NY

Other

Enumeration date
02/10/2014
Last updated
01/20/2020
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