National Provider Identifier

Jean C Kelly

Jean C Kelly is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 275-9555.

NPI 1164870853Rochester, NYMedical Physician Assistant

Profile Overview

NPI
1164870853
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
June 02, 2016
Last Updated
June 29, 2023

Practice Location

  • 601 Elmwood Ave
  • Rochester, NY 14642-0001

Phone: (585) 275-9555

Mailing Address

  • PO Box 655-B
  • 601 Elmwood Ave.,
  • Rochester, NY 14642-8655

Specialties

  • Medical Physician Assistant (363AM0700X)
  • Medical Physician Assistant (363AM0700X)

Endpoints

  • jkelly102444@direct.urmc.rochester.edu

    Direct Messaging Address | Direct | Other | Rochester, NY 14642

Full Record
NPI
1164870853
Entity Type
Individual
Last Name
Kelly
First Name
Jean
Middle Name
C
Mailing Street Address
PO Box 655-B
Mailing Address Line 2
601 Elmwood Ave.,
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-8655
Mailing Country
US
Mailing Phone
(585) 341-3015
Practice Street Address
601 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-9555
Enumeration Date
June 02, 2016
Last Updated
June 29, 2023
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X), Medical Physician Assistant (363AM0700X)