National Provider Identifier
Kelly Jeanne Knickerbocker, CNM
Kelly Jeanne Knickerbocker, CNM is listed in the NPPES registry with a primary specialty of Midwife in Webster, NY and a listed phone number of (585) 922-0374.
Profile Overview
- NPI
- 1912863416
- Provider Type
- Individual
- Primary Specialty
- Midwife
- Enumeration Date
- December 29, 2025
- Last Updated
- December 29, 2025
Practice Location
- 2000 Empire Blvd Ste 200
- Webster, NY 14580-1957
Phone: (585) 922-0374
Specialties
- Midwife (176B00000X)
Full Record
- NPI
- 1912863416
- Entity Type
- Individual
- Last Name
- Knickerbocker
- First Name
- Kelly
- Middle Name
- Jeanne
- Credential
- CNM
- Mailing Street Address
- 2000 Empire Blvd Ste 200
- Mailing City
- Webster
- Mailing State
- NY
- Mailing ZIP Code
- 14580-1957
- Mailing Country
- US
- Mailing Phone
- (585) 922-0374
- Practice Street Address
- 2000 Empire Blvd Ste 200
- Practice City
- Webster
- Practice State
- NY
- Practice ZIP Code
- 14580-1957
- Practice Country
- US
- Practice Phone
- (585) 922-0374
- Enumeration Date
- December 29, 2025
- Last Updated
- December 29, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- December 29, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Midwife (176B00000X)