National Provider Identifier
Kelly M Bubacz, FNP-C
Kelly M Bubacz, FNP-C is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 235-4860.
Profile Overview
- NPI
- 1144760232
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- March 08, 2017
- Last Updated
- April 21, 2021
Practice Location
- 65 Genesee St, 1St Floor, Ste 3
- Rochester, NY 14611
Phone: (585) 235-4860
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Family Nurse Practitioner (363LF0000X)
Endpoints
- kbubacz217230@direct.rochesterregional.org
Direct Messaging Address | Rochester, NY 14611
Full Record
- NPI
- 1144760232
- Entity Type
- Individual
- Last Name
- Bubacz
- First Name
- Kelly
- Middle Name
- M
- Credential
- FNP-C
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 235-4860
- Mailing Fax
- (585) 464-9047
- Practice Street Address
- 65 Genesee St, 1St Floor, Ste 3
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14611
- Practice Country
- US
- Practice Phone
- (585) 235-4860
- Practice Fax
- (585) 464-9047
- Enumeration Date
- March 08, 2017
- Last Updated
- April 21, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 21, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)
- Other Identifiers
- 04811501 (NY)