National Provider Identifier

Kelly Ann Probst, PA

Kelly Ann Probst, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 276-3000.

NPI 1558971812Rochester, NYPhysician Assistant

Profile Overview

NPI
1558971812
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
August 03, 2020
Last Updated
February 15, 2021

Practice Location

  • 601 Elmwood Ave
  • Rochester, NY 14642-1348

Phone: (585) 276-3000

Mailing Address

  • 601 Elmwood Ave
  • Rochester, NY 14642-0001

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1558971812
Entity Type
Individual
Last Name
Probst
First Name
Kelly
Middle Name
Ann
Credential
PA
Mailing Street Address
601 Elmwood Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 276-3000
Practice Street Address
601 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-1348
Practice Country
US
Practice Phone
(585) 276-3000
Enumeration Date
August 03, 2020
Last Updated
February 15, 2021
Sex
Female
Sole Proprietor
No
Certification Date
February 15, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)