Individual
KELITA L FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
158 ORCHARD ST, ROCHESTER, NY 14611-1361
(585) 368-4500
(585) 436-6047
Mailing address
158 ORCHARD ST, ROCHESTER, NY 14611-1361
(585) 368-4500
(585) 436-6047
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
269938
NY
207Q00000X
Family Medicine Physician
4301501395
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03687625
—
NY
Enumeration date
07/02/2010
Last updated
06/15/2020
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