Individual
KELSEY ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
309 EXCHANGE BLVD, ROCHESTER, NY 14608-2708
(315) 271-9434
Mailing address
283 LABURNAM CRES, ROCHESTER, NY 14620-1823
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
013191
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700082237
—
NY
Enumeration date
05/29/2019
Last updated
06/11/2019
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