National Provider Identifier
Kelly Zodl, NP
Kelly Zodl, NP is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Rochester, NY and a listed phone number of (585) 275-4501.
Profile Overview
- NPI
- 1336838333
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Enumeration Date
- May 04, 2023
- Last Updated
- December 04, 2023
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-5144
Phone: (585) 275-4501
Specialties
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
- Psychiatric/Mental Health Registered Nurse (163WP0808X)
Full Record
- NPI
- 1336838333
- Entity Type
- Individual
- Last Name
- Zodl
- First Name
- Kelly
- Credential
- NP
- Mailing Street Address
- 601 Elmwood Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-5144
- Mailing Country
- US
- Mailing Phone
- (585) 275-4501
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-5144
- Practice Country
- US
- Practice Phone
- (585) 275-4501
- Enumeration Date
- May 04, 2023
- Last Updated
- December 04, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- December 04, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X), Psychiatric/Mental Health Registered Nurse (163WP0808X)