National Provider Identifier

Kelly Nauerth

Kelly Nauerth is listed in the NPPES registry with a primary specialty of Specialist in Brockport, NY and a listed phone number of (585) 409-7031.

NPI 1457737835Brockport, NYSpecialist

Profile Overview

NPI
1457737835
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
August 07, 2015
Last Updated
August 07, 2015

Practice Location

  • 211 Darla Dr
  • Brockport, NY 14420-9404

Phone: (585) 409-7031

Specialties

  • Specialist (174400000X)
Full Record
NPI
1457737835
Entity Type
Individual
Last Name
Nauerth
First Name
Kelly
Mailing Street Address
211 Darla Dr
Mailing City
Brockport
Mailing State
NY
Mailing ZIP Code
14420-9404
Mailing Country
US
Practice Street Address
211 Darla Dr
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-9404
Practice Country
US
Practice Phone
(585) 409-7031
Enumeration Date
August 07, 2015
Last Updated
August 07, 2015
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)