National Provider Identifier
Kelly Krupa
Kelly Krupa is listed in the NPPES registry with a primary specialty of Surgery Physician in Rochester, NY and a listed phone number of (585) 922-4518.
Profile Overview
- NPI
- 1497109300
- Provider Type
- Individual
- Primary Specialty
- Surgery Physician
- Enumeration Date
- April 17, 2016
- Last Updated
- October 13, 2022
Practice Location
- 1415 Portland Ave Ste 245
- Rochester, NY 14621-3022
Phone: (585) 922-4518
Mailing Address
- 320 E North Ave
- Pittsburgh, PA 15212-4756
Specialties
- Surgery Physician (208600000X)
Full Record
- NPI
- 1497109300
- Entity Type
- Individual
- Last Name
- Krupa
- First Name
- Kelly
- Mailing Street Address
- 320 E North Ave
- Mailing City
- Pittsburgh
- Mailing State
- PA
- Mailing ZIP Code
- 15212-4756
- Mailing Country
- US
- Mailing Phone
- (412) 359-6907
- 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) 922-4518
- Practice Fax
- (585) 922-3950
- Enumeration Date
- April 17, 2016
- Last Updated
- October 13, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- October 13, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgery Physician (208600000X)