National Provider Identifier

Kelley Leigh Tripp, MSED

Kelley Leigh Tripp, MSED is listed in the NPPES registry with a primary specialty of Specialist in Fairport, NY and a listed phone number of (585) 377-2230.

NPI 1568725083Fairport, NYSpecialist

Profile Overview

NPI
1568725083
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
June 19, 2012
Last Updated
June 19, 2012

Practice Location

  • 149 N Main St
  • Fairport, NY 14450-1434

Phone: (585) 377-2230

Mailing Address

  • 128 Willowbend Dr
  • Penfield, NY 14526-1115

Specialties

  • Specialist (174400000X)
Full Record
NPI
1568725083
Entity Type
Individual
Last Name
Tripp
First Name
Kelley
Middle Name
Leigh
Name Prefix
Mrs.
Credential
MSED
Mailing Street Address
128 Willowbend Dr
Mailing City
Penfield
Mailing State
NY
Mailing ZIP Code
14526-1115
Mailing Country
US
Mailing Phone
(585) 586-1343
Practice Street Address
149 N Main St
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-1434
Practice Country
US
Practice Phone
(585) 377-2230
Practice Fax
(585) 377-2243
Enumeration Date
June 19, 2012
Last Updated
June 19, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)