National Provider Identifier
Keelan O'Malley, DMD
Keelan O'Malley, DMD 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) 275-5051.
Profile Overview
- NPI
- 1770254831
- Provider Type
- Individual
- Primary Specialty
- Student In An Organized Health Care Education/Training Program
- Enumeration Date
- September 27, 2021
- Last Updated
- September 27, 2021
Practice Location
- 625 Elmwood Ave
- Rochester, NY 14620-2913
Phone: (585) 275-5051
Specialties
- Student In An Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1770254831
- Entity Type
- Individual
- Last Name
- O'Malley
- First Name
- Keelan
- Name Prefix
- Dr.
- Credential
- DMD
- Mailing Street Address
- 625 Elmwood Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-2913
- Mailing Country
- US
- Practice Street Address
- 625 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-2913
- Practice Country
- US
- Practice Phone
- (585) 275-5051
- Enumeration Date
- September 27, 2021
- Last Updated
- September 27, 2021
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- September 27, 2021
- Taxonomies
- Student In An Organized Health Care Education/Training Program (390200000X)