National Provider Identifier

Kelly Anne Ferguson, PA

Kelly Anne Ferguson, PA is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Rochester, NY and a listed phone number of (585) 473-2200.

NPI 1033495775Rochester, NYSurgical Physician Assistant

Profile Overview

NPI
1033495775
Provider Type
Individual
Primary Specialty
Surgical Physician Assistant
Enumeration Date
October 26, 2011
Last Updated
September 26, 2022

Practice Location

  • 1425 Portland Ave
  • Rochester General Hospitalist Group
  • Rochester, NY 14621

Phone: (585) 473-2200

Specialties

  • Surgical Physician Assistant (363AS0400X)

Endpoints

  • kelly.ferguson@rochesterregional.org

    Direct Messaging Address | Rochester, NY 14621

Full Record
NPI
1033495775
Entity Type
Individual
Last Name
Ferguson
First Name
Kelly
Middle Name
Anne
Credential
PA
Provider Other Last Name
Keeney
Provider Other First Name
Kelly
Provider Other Middle Name
Anne
Provider Other Credential Text
PA
Provider Other Last Name Type Code
1
Mailing Street Address
1425 Portland Ave
Mailing Address Line 2
Rochester General Hospitalist Group
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621
Mailing Country
US
Mailing Phone
(585) 922-5067
Mailing Fax
(585) 922-2908
Practice Street Address
1425 Portland Ave
Practice Address Line 2
Rochester General Hospitalist Group
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621
Practice Country
US
Practice Phone
(585) 473-2200
Enumeration Date
October 26, 2011
Last Updated
September 26, 2022
Sex
Female
Sole Proprietor
No
Certification Date
September 26, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Surgical Physician Assistant (363AS0400X)