DR. Kellyrose Mary Nichols, D.O.

NPI #1013274638 in Le Roy, New York

Provider Information

NPI Number: 1013274638
Entity Type: Individual
Name: DR. Kellyrose Mary Nichols, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Apr 20, 2012
Last Updated: Jun 28, 2023

Practice Location

Address: 8745 LAKE STREET RD
City: Le Roy
State: New York
ZIP Code: 14482-9344
Phone: (585) 768-2620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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