National Provider Identifier

Kelesey Wage

Kelesey Wage is listed in the NPPES registry with a primary specialty of Social Worker in Canandaigua, NY and a listed phone number of (585) 396-4363.

NPI 1629596119Canandaigua, NYSocial Worker

Profile Overview

NPI
1629596119
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
September 05, 2017
Last Updated
September 05, 2017

Practice Location

  • 3019 County Complex Dr
  • Canandaigua, NY 14424-9505

Phone: (585) 396-4363

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1629596119
Entity Type
Individual
Last Name
Wage
First Name
Kelesey
Mailing Street Address
3019 County Complex Dr
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-9505
Mailing Country
US
Practice Street Address
3019 County Complex Dr
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-9505
Practice Country
US
Practice Phone
(585) 396-4363
Enumeration Date
September 05, 2017
Last Updated
September 05, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)