Individual
DR. KAITLYN MARIE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1100 LONG POND RD, SUITE 110, ROCHESTER, NY 14626-1177
(585) 225-1100
(585) 225-0216
Mailing address
1100 LONG POND RD, SUITE 110, ROCHESTER, NY 14626-1177
(585) 225-1100
(585) 225-0216
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
002675
NY
237700000X
Hearing Instrument Specialist
14000032759
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639544182
NPI
NY
Enumeration date
12/09/2015
Last updated
12/28/2016
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