Individual provider · Type 1 NPI

Kelly F. Dibble

Nurse Practitioner · Rochester, NY

NPI number 1124528740 Active

Practice location

222 Alexander St Ste 5000
Rochester, NY 14607-4064

Call (585) 922-8003 Map

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X672014 (NY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1124528740

Kelly F. Dibble's National Provider Identifier is 1124528740, issued on Feb 20, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rochester, NY. The record was last updated on Feb 20, 2018.