Individual
DR. CHERYL A. KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
370 WHITE SPRUCE BLVD, ROCHESTER, NY 14623-1604
(585) 424-5005
(585) 475-0096
Mailing address
370 WHITE SPRUCE BLVD, ROCHESTER, NY 14623-1604
(585) 424-5005
(585) 475-0096
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
036886
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01039505
—
NY
01
—
9561
BC/BS #
NY
Enumeration date
07/07/2006
Last updated
07/08/2007
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