Individual
DEIRDRE MARY KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1111 ELMWOOD AVE BLDG 16, ROCHESTER, NY 14620-3005
(585) 241-1262
Mailing address
1111 ELMWOOD AVE BLDG 16, ROCHESTER, NY 14620-3005
(585) 241-1262
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401683-1
NY
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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