Individual
KELLY KRUPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1415 PORTLAND AVE STE 245, ROCHESTER, NY 14621-3022
(585) 922-4518
(585) 922-3950
Mailing address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-6907
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
315584
NY
Other
Enumeration date
04/17/2016
Last updated
10/13/2022
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