National Provider Identifier
Kristie Keene, PA
Kristie Keene, PA is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Rochester, NY and a listed phone number of (585) 922-4715.
Profile Overview
- NPI
- 1417371600
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- February 10, 2014
- Last Updated
- January 20, 2020
Practice Location
- 1415 Portland Ave Ste 245
- Rochester, NY 14621-3022
Phone: (585) 922-4715
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Surgical Physician Assistant (363AS0400X)
Full Record
- NPI
- 1417371600
- Entity Type
- Individual
- Last Name
- Keene
- First Name
- Kristie
- Name Prefix
- MS.
- Credential
- PA
- Provider Other Last Name
- Gensheimer
- Provider Other First Name
- Kristie
- Provider Other Credential Text
- PA
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 922-4715
- Mailing Fax
- (585) 922-3950
- Practice Street Address
- 1415 Portland Ave Ste 245
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3022
- Practice Country
- US
- Practice Phone
- (585) 922-4715
- Practice Fax
- (585) 922-3950
- Enumeration Date
- February 10, 2014
- Last Updated
- January 20, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 20, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Physician Assistant (363AS0400X)