National Provider Identifier

Kellie Rachelle McNair

Kellie Rachelle McNair is listed in the NPPES registry with a primary specialty of Specialist in Victor, NY and a listed phone number of (585) 924-7207.

NPI 1902683493Victor, NYSpecialist

Profile Overview

NPI
1902683493
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
September 11, 2023
Last Updated
September 11, 2023

Practice Location

  • 590 Fishers Station Dr Ste 130
  • Victor, NY 14564-9744

Phone: (585) 924-7207

Mailing Address

  • 3214 Big Ridge RD
  • Spencerport, NY 14559-9509

Specialties

  • Specialist (174400000X)
Full Record
NPI
1902683493
Entity Type
Individual
Last Name
McNair
First Name
Kellie
Middle Name
Rachelle
Mailing Street Address
3214 Big Ridge RD
Mailing City
Spencerport
Mailing State
NY
Mailing ZIP Code
14559-9509
Mailing Country
US
Mailing Phone
(585) 315-6648
Practice Street Address
590 Fishers Station Dr Ste 130
Practice City
Victor
Practice State
NY
Practice ZIP Code
14564-9744
Practice Country
US
Practice Phone
(585) 924-7207
Enumeration Date
September 11, 2023
Last Updated
September 11, 2023
Sex
Female
Sole Proprietor
No
Certification Date
September 09, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)