Individual provider · Type 1 NPI
Jean C. Kelly
Medical Physician Assistant · Rochester, NY
NPI number
1164870853
Active
Practice location
601 Elmwood Ave
Rochester, NY 14642-0001
Mailing address
PO Box 655-B, 601 Elmwood Ave.,
Rochester, NY 14642-8655
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 19949 (NY) |
| Medical Physician Assistant Primary | 363AM0700X | 019949 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1164870853
Jean C. Kelly's National Provider Identifier is 1164870853, issued on Jun 2, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rochester, NY. The record was last updated on Jun 29, 2023.