Individual
KYLE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 FORT HILL AVE, CANANDAIGUA, NY 14424-1159
(585) 393-7100
Mailing address
400 FORT HILL AVE, CANANDAIGUA, NY 14424-1159
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
005635
NY
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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