National Provider Identifier

Kellie McCracken, RN

Kellie McCracken, RN is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Registered Nurse in Rochester, NY and a listed phone number of (585) 368-6901.

NPI 1013464411Rochester, NYAddiction (Substance Use Disorder) Registered Nurse

Profile Overview

NPI
1013464411
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Registered Nurse
Enumeration Date
September 02, 2016
Last Updated
September 02, 2016

Practice Location

  • 81 Lake Avenue
  • Rochester, NY 14608

Phone: (585) 368-6901

Specialties

  • Addiction (Substance Use Disorder) Registered Nurse (163WA0400X)
Full Record
NPI
1013464411
Entity Type
Individual
Last Name
McCracken
First Name
Kellie
Credential
RN
Mailing Street Address
81 Lake Avenue
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14608
Mailing Country
US
Mailing Phone
(585) 368-6901
Mailing Fax
(585) 546-5806
Practice Street Address
81 Lake Avenue
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14608
Practice Country
US
Practice Phone
(585) 368-6901
Practice Fax
(585) 546-5806
Enumeration Date
September 02, 2016
Last Updated
September 02, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Registered Nurse (163WA0400X)