National Provider Identifier

Kelcie Sprentall

Kelcie Sprentall is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Canandaigua, NY and a listed phone number of (585) 394-1875.

NPI 1891182960Canandaigua, NYFamily Medicine Physician

Profile Overview

NPI
1891182960
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
April 16, 2015
Last Updated
March 18, 2025

Practice Location

  • 401 S Main St Ste 200
  • Canandaigua, NY 14424-2157

Phone: (585) 394-1875

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Family Medicine Physician (207Q00000X)
  • Family Medicine Physician (207Q00000X)

Endpoints

  • ksprentall363457@direct.rochesterregional.org

    Direct Messaging Address | Direct | Canandaigua, NY 14424

Full Record
NPI
1891182960
Entity Type
Individual
Last Name
Sprentall
First Name
Kelcie
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Practice Street Address
401 S Main St Ste 200
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-2157
Practice Country
US
Practice Phone
(585) 394-1875
Practice Fax
(585) 394-1878
Enumeration Date
April 16, 2015
Last Updated
March 18, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
March 18, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X), Family Medicine Physician (207Q00000X)