National Provider Identifier

Kelly F Dibble

Kelly F Dibble is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Rochester, NY and a listed phone number of (585) 922-8003.

NPI 1124528740Rochester, NYNurse Practitioner

Profile Overview

NPI
1124528740
Provider Type
Individual
Primary Specialty
Nurse Practitioner
Enumeration Date
February 20, 2018
Last Updated
February 20, 2018

Practice Location

  • 222 Alexander St Ste 5000
  • Rochester, NY 14607-4064

Phone: (585) 922-8003

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Nurse Practitioner (363L00000X)
Full Record
NPI
1124528740
Entity Type
Individual
Last Name
Dibble
First Name
Kelly
Middle Name
F
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Practice Street Address
222 Alexander St Ste 5000
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14607-4064
Practice Country
US
Practice Phone
(585) 922-8003
Enumeration Date
February 20, 2018
Last Updated
February 20, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Nurse Practitioner (363L00000X)