Individual
KERRY LYNN PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
20 HAGEN DR STE 100, ROCHESTER, NY 14625-2665
(585) 922-4020
(585) 922-4622
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-4020
(585) 922-4622
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310446
NY
363LG0600X
Gerontology Nurse Practitioner
310446
NY
Other
Enumeration date
10/28/2021
Last updated
12/22/2022
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