National Provider Identifier
Kristi Michelle Cowell-Kusak, M.D.
Kristi Michelle Cowell-Kusak, M.D. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Rochester, NY and a listed phone number of (585) 225-1700.
Profile Overview
- NPI
- 1538171160
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- August 12, 2006
- Last Updated
- November 19, 2018
Practice Location
- 3101 Ridge RD W
- Bldg C
- Rochester, NY 14626-3249
Phone: (585) 225-1700
Mailing Address
- 1850 Eldorado Dr
- Geneva, IL 60134-4333
Specialties
- Internal Medicine Physician (207R00000X)
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1538171160
- Entity Type
- Individual
- Last Name
- Cowell-Kusak
- First Name
- Kristi
- Middle Name
- Michelle
- Name Prefix
- Mrs.
- Credential
- M.D.
- Provider Other Last Name
- Cowell
- Provider Other First Name
- Kristi
- Provider Other Middle Name
- Michelle
- Provider Other Name Prefix Text
- Dr.
- Provider Other Credential Text
- MD
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1850 Eldorado Dr
- Mailing City
- Geneva
- Mailing State
- IL
- Mailing ZIP Code
- 60134-4333
- Mailing Country
- US
- Practice Street Address
- 3101 Ridge RD W
- Practice Address Line 2
- Bldg C
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-3249
- Practice Country
- US
- Practice Phone
- (585) 225-1700
- Practice Fax
- (585) 225-1439
- Enumeration Date
- August 12, 2006
- Last Updated
- November 19, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X), Pediatrics Physician (208000000X)
- Other Identifiers
- 02865956 (NY)