National Provider Identifier
Kelly Jordan Demchuk, NP
Kelly Jordan Demchuk, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 232-8940.
Profile Overview
- NPI
- 1790297513
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- November 02, 2017
- Last Updated
- June 20, 2019
Practice Location
- 30 N Union St Ste 105
- Rochester, NY 14607-1345
Phone: (585) 232-8940
Specialties
- Family Nurse Practitioner (363LF0000X)
Endpoints
- kjjones417@dermpartnersofwny.com
Direct Messaging Address | Direct | Other | Rochester, NY 14607
Email
Full Record
- NPI
- 1790297513
- Entity Type
- Individual
- Last Name
- Demchuk
- First Name
- Kelly
- Middle Name
- Jordan
- Credential
- NP
- Provider Other Last Name
- Jones
- Provider Other First Name
- Kelly
- Provider Other Middle Name
- Jordan
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 30 N Union St Ste 105
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607-1345
- Mailing Country
- US
- Mailing Phone
- (585) 232-8940
- Practice Street Address
- 30 N Union St Ste 105
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-1345
- Practice Country
- US
- Practice Phone
- (585) 232-8940
- Enumeration Date
- November 02, 2017
- Last Updated
- June 20, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)