Abell, Kim Bruce

Abell, Kim Bruce is an individual health care provider with primary practice located at 2212 Penfield Rd Suite 100, Rochester NY 14526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Abell, Kim Bruce can be contacted via phone (585) 598-8505.

Contact Information

Primary practice address
2212 Penfield Rd Suite 100 Rochester NY 14526
Fax: (585) 598-8122
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 159674 Massachusetts
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 245199 New York

Profile Details

NPI number 1023091360
LBN Legal business name Abell, Kim Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Jul 6th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023091360 NPPES
New York MEDICAID 02904763

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