National Provider Identifier
Jeremy John Kelly
Jeremy John Kelly is listed in the NPPES registry with a primary specialty of Counselor in Rochester, NY and a listed phone number of (585) 385-6030.
Profile Overview
- NPI
- 1295696714
- Provider Type
- Individual
- Primary Specialty
- Counselor
- Enumeration Date
- November 24, 2025
- Last Updated
- January 04, 2026
Practice Location
- 1100 Long Pond RD Ste 222
- Rochester, NY 14626-1177
Phone: (585) 385-6030
Specialties
- Counselor (101Y00000X)
Full Record
- NPI
- 1295696714
- Entity Type
- Individual
- Last Name
- Kelly
- First Name
- Jeremy
- Middle Name
- John
- Mailing Street Address
- 1100 Long Pond RD Ste 222
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-1177
- Mailing Country
- US
- Mailing Phone
- (585) 385-6030
- Practice Street Address
- 1100 Long Pond RD Ste 222
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-1177
- Practice Country
- US
- Practice Phone
- (585) 385-6030
- Enumeration Date
- November 24, 2025
- Last Updated
- January 04, 2026
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- January 04, 2026
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Counselor (101Y00000X)