National Provider Identifier

Andrew Kelly, MD

Andrew Kelly, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 276-3000.

NPI 1740867118Rochester, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1740867118
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
March 24, 2021
Last Updated
March 24, 2021

Practice Location

  • 601 Elmwood Ave # 629
  • Rochester, NY 14642-0001

Phone: (585) 276-3000

Mailing Address

  • 601 Elmwood Ave Box 629
  • Rochester, NY 14642-8629

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1740867118
Entity Type
Individual
Last Name
Kelly
First Name
Andrew
Credential
MD
Mailing Street Address
601 Elmwood Ave Box 629
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-8629
Mailing Country
US
Practice Street Address
601 Elmwood Ave # 629
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 276-3000
Enumeration Date
March 24, 2021
Last Updated
March 24, 2021
Sex
Male
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
March 24, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)