Individual
KELLY M. REA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5901 LAC DE VILLE BLVD, ROCHESTER, NY 14618-5600
(585) 442-7960
(585) 442-6984
Mailing address
5901 LAC DE VILLE BLVD, ROCHESTER, NY 14618-5600
(585) 442-7960
(585) 442-6984
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
340662
NY
363L00000X
Nurse Practitioner
Primary
F340662-1
NY
Other
Enumeration date
07/27/2007
Last updated
07/05/2023
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