Reid-Waldock, Kelly

Reid-Waldock, Kelly is an individual health care provider with primary practice located at 1295 Portland Avenue Suite 7, Rochester NY 14621. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Reid-Waldock, Kelly can be contacted via phone (585) 266-7560.

Contact Information

Primary practice address
1295 Portland Avenue Suite 7 Rochester NY 14621
Phone: (585) 266-7560
Fax: (585) 266-7916
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F3324631 New York

Profile Details

NPI number 1174574099
LBN Legal business name Reid-Waldock, Kelly
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jan 13th, 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 1174574099 NPPES
New York MEDICAID 02122425
New York Other NP0242
New York Other 0181925590

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