National Provider Identifier
Kaitlyn Erin Kennedy
Kaitlyn Erin Kennedy is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 423-5800.
Profile Overview
- NPI
- 1255997581
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- May 13, 2019
- Last Updated
- January 28, 2020
Practice Location
- 322 Lake Ave
- Rochester, NY 14608-1162
Phone: (585) 423-5800
Mailing Address
- 47 East St
- Hebron, CT 06248-1309
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1255997581
- Entity Type
- Individual
- Last Name
- Kennedy
- First Name
- Kaitlyn
- Middle Name
- Erin
- Mailing Street Address
- 47 East St
- Mailing City
- Hebron
- Mailing State
- CT
- Mailing ZIP Code
- 06248-1309
- Mailing Country
- US
- Mailing Phone
- (860) 682-4040
- Practice Street Address
- 322 Lake Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14608-1162
- Practice Country
- US
- Practice Phone
- (585) 423-5800
- Enumeration Date
- May 13, 2019
- Last Updated
- January 28, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- January 28, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)