Kelley Stephan, MS.ed
Specialist in Victor, NY. Individual provider (NPI-1).
NPI number1003663774
StatusActive
Last updated in NPPESMay 1, 2024
Details
- NPI
- 1003663774
- Entity type
- Individual (NPI-1)
- Name
- Kelley Stephan
- Credential
- MS.ed
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 1, 2024
- Certification date
- May 1, 2024
- Last updated
- May 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
590 Fishers Station Dr Ste 130Victor, NY 14564-9744
Phone 585-924-7207
Mailing address
590 Fishers Station Dr Ste 130Victor, NY 14564-9744
Phone 585-924-7207
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