Kelcy Wildt, PA

NPI #1013586577 in Rochester, New York

Provider Information

NPI Number: 1013586577
Entity Type: Individual
Name: Kelcy Wildt, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jun 21, 2021
Last Updated: Mar 28, 2024

Practice Location

Address: 1555 LONG POND RD
City: Rochester
State: New York
ZIP Code: 14626-4122
Phone: (585) 723-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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