Individual
MICHELLE AMY KINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
158 SAWGRASS DR, ROCHESTER, NY 14620-4648
(585) 275-2838
Mailing address
601 ELMWOOD AVE # 656, ROCHESTER, NY 14642-0001
(585) 275-2838
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
310750
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
310750
NY
Other
Enumeration date
05/25/2022
Last updated
04/10/2025
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