National Provider Identifier

Kelly Brock, LPN

Kelly Brock, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 529-4881.

NPI 1891971339Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1891971339
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
January 15, 2008
Last Updated
January 15, 2008

Practice Location

  • 345 Elmwood Ter
  • Rochester, NY 14620-3707

Phone: (585) 529-4881

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1891971339
Entity Type
Individual
Last Name
Brock
First Name
Kelly
Credential
LPN
Mailing Street Address
345 Elmwood Ter
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-3707
Mailing Country
US
Mailing Phone
(585) 529-4881
Practice Street Address
345 Elmwood Ter
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-3707
Practice Country
US
Practice Phone
(585) 529-4881
Enumeration Date
January 15, 2008
Last Updated
January 15, 2008
Sex
Female
Sole Proprietor
Yes
Taxonomies
Licensed Practical Nurse (164W00000X)