National Provider Identifier

Kim K Petrone, MD

Kim K Petrone, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Rochester, NY and a listed phone number of (585) 697-6415.

NPI 1518946599Rochester, NYInternal Medicine Physician

Profile Overview

NPI
1518946599
Provider Type
Individual
Primary Specialty
Internal Medicine Physician
Enumeration Date
January 10, 2006
Last Updated
July 08, 2007

Practice Location

  • 1500 Portland Avenue
  • St Anns Community
  • Rochester, NY 14621

Phone: (585) 697-6415

Specialties

  • Internal Medicine Physician (207R00000X)
Full Record
NPI
1518946599
Entity Type
Individual
Last Name
Petrone
First Name
Kim
Middle Name
K
Credential
MD
Mailing Street Address
1500 Portland Avenue
Mailing Address Line 2
St Anns Community
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621
Mailing Country
US
Mailing Phone
(585) 697-6415
Mailing Fax
(585) 342-9166
Practice Street Address
1500 Portland Avenue
Practice Address Line 2
St Anns Community
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621
Practice Country
US
Practice Phone
(585) 697-6415
Practice Fax
(585) 342-9166
Enumeration Date
January 10, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Internal Medicine Physician (207R00000X)
Other Identifiers
108690BJ (Preferred Care Hert Sah S), 02309617 (NY), RA6962 (Heritage)