National Provider Identifier

Kiera O'Connor Russo

Kiera O'Connor Russo is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Rochester, NY and a listed phone number of (585) 617-2300.

NPI 1487151635Rochester, NYSpeech-Language Pathologist

Profile Overview

NPI
1487151635
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
April 12, 2018
Last Updated
August 16, 2019

Practice Location

  • 160 Wallace Way Bldg 9
  • Rochester, NY 14624-6215

Phone: (585) 617-2300

Mailing Address

  • 627 Elmwood Ter
  • Rochester, NY 14620-3713

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1487151635
Entity Type
Individual
Last Name
Russo
First Name
Kiera
Middle Name
O'Connor
Mailing Street Address
627 Elmwood Ter
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-3713
Mailing Country
US
Mailing Phone
(860) 709-7272
Practice Street Address
160 Wallace Way Bldg 9
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14624-6215
Practice Country
US
Practice Phone
(585) 617-2300
Enumeration Date
April 12, 2018
Last Updated
August 16, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)