Individual
DR. KELLY R. GRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
120 ALLENS CREEK RD, ROCHESTER, NY 14618-3306
(585) 271-0560
(585) 271-0563
Mailing address
120 ALLENS CREEK RD, ROCHESTER, NY 14618-3306
(585) 271-0560
(585) 271-0563
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X008921-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C008921-1B
NYS WORKERS' COMPENSATION
NY
01
—
P010008921
EXCELLUS BLUE CHOICE
NY
01
—
P020008921
EXCELLUS BLUE SHIELD
NY
Enumeration date
05/15/2007
Last updated
02/14/2017
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