Kelly Reid-waldock NP

NPI 1174574099 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1174574099
Gender Female
Enumeration Date 05/15/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1295 PORTLAND AVENUE
SUITE 7
ROCHESTER NY, 14621, US
Phone (585) 266-7560
Fax (585) 266-7916
Business Location
1295 PORTLAND AVENUE
SUITE 7
ROCHESTER NY, 14621, US
Phone (585) 266-7560
Fax (585) 266-7916
Toxanomy
Taxonomy Code 363LF0000X
License State New York
License Number F3324631
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According to our database, Mrs. Kelly Reid-waldock NP NPI is 1174574099, taxonomy code is 363LF0000X and license number is F3324631, license state is located at New York. Kelly Reid-waldock NP physically located at 1295 Portland Avenue, Rochester NY, 14621. NPI Number Kelly Reid-waldock NP has the Individual type.

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1174574099 NPI number is provided on an as is basis without warranty of any kind. 1174574099 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Reid-waldock NP are for informational purposes only.