Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLYROSE MARY NICHOLS, D.O.
ActiveDR. KELLYROSE MARY NICHOLS, D.O. is a Family Medicine healthcare provider located in LE ROY, New York. NPI 1013274638 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LE ROY, NY
Registration Details
- NPI Number
- 1013274638
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 20, 2012 (14.17126898266 yrs)
- Last Updated
- Jun 28, 2023
- License
-
279405 (NY)
Practice Information
- Address
-
8745 LAKE STREET RDLE ROY, NY, 144829344Browse NY providers · Browse ZIP 14482
- Phone
- 5857682620
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in LE ROY, NY
| Name | Credential | NPI |
|---|---|---|
| STANLEY WALTER AMBIS | MD | 1285736066 |
| DR. ANDREA NAOMI KUDEL | D.O. | 1467711135 |
| AMANDA H STERMER | MD | 1114306701 |
| TANIA AGUILAR | MD | 1750951687 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.