National Provider Identifier

Kelsey A Mirabal, PA

Kelsey A Mirabal, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 266-4000.

NPI 1346657962Rochester, NYPhysician Assistant

Profile Overview

NPI
1346657962
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
July 15, 2014
Last Updated
June 30, 2023

Practice Location

  • 2701 Culver RD
  • Rochester, NY 14622-2876

Phone: (585) 266-4000

Mailing Address

  • 7 Seneca St
  • Hornell, NY 14843-1312

Specialties

  • Physician Assistant (363A00000X)
  • Physician Assistant (363A00000X)

Endpoints

  • kmirabal134774@direct.urmc.rochester.edu

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

Full Record
NPI
1346657962
Entity Type
Individual
Last Name
Mirabal
First Name
Kelsey
Middle Name
A
Credential
PA
Provider Other Last Name
Talley
Provider Other First Name
Kelsey
Provider Other Middle Name
A
Provider Other Last Name Type Code
1
Mailing Street Address
7 Seneca St
Mailing City
Hornell
Mailing State
NY
Mailing ZIP Code
14843-1312
Mailing Country
US
Mailing Phone
(607) 324-5626
Mailing Fax
(607) 324-1374
Practice Street Address
2701 Culver RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14622-2876
Practice Country
US
Practice Phone
(585) 266-4000
Practice Fax
(585) 266-4004
Enumeration Date
July 15, 2014
Last Updated
June 30, 2023
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X), Physician Assistant (363A00000X)