Individual
KRISTEN M KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3111 WINTON RD S, ROCHESTER, NY 14623-2905
(585) 749-0377
Mailing address
81 LABRADOR DRIVE, ROCHESTER, NY 14616
(585) 749-0377
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
603429
NY
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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