Individual
KELSEY HUXTABLE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-2100
Mailing address
2138 W SENECA ST, OVID, NY 14521-9701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
341987
NY
363L00000X
Nurse Practitioner
Primary
F341987-1
NY
Other
Enumeration date
07/08/2017
Last updated
12/30/2025
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