Individual
KELCIE SPRENTALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 S MAIN ST STE 200, CANANDAIGUA, NY 14424-2157
(585) 394-1875
(585) 394-1878
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
319177
NY
207Q00000X
Family Medicine Physician
MD464217
PA
Other
Enumeration date
04/16/2015
Last updated
03/18/2025
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