Kelly Reid-Waldock is a Family in Rochester, New York. Kelly Reid-Waldock practices all healthcare services and medical treatments related to Family. The NPI Number for Kelly Reid-Waldock is 1174574099. The last update date is 2023-01-13.
Kelly Reid-Waldock's current location address is 1295 Portland Avenue, Rochester, New York. You can contact this provider via phone number 5852667560 and fax number 5852667916. The mailing address for Kelly Reid-Waldock is 1295 Portland Avenue, Rochester, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Reid-Waldock |
|---|---|
| Address | 1295 Portland Avenue, Rochester, New York |
| Phone Number | 5852667560 |
| Fax Number | 5852667916 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1174574099 |
|---|---|
| Provider Enumeration Date | 2006-05-15 |
| Last Updated Date | 2023-01-13 |
Provider Mailing Address Detail
| Address | 1295 Portland Avenue |
|---|---|
| City | Rochester |
| State | New York (NY) |
| Post Code | 14621 |
| Phone Number | 5852667560 |
| Fax Number | 5852667916 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | F3324631 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2122425 | NY | -- | |
| NP0242 | PREFERRED CARE | ||
| 181925590 | BLUE CHOICE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kelly Reid-Waldock by the Centers for Medicare & Medicaid Services?
The Kelly Reid-Waldock has been issued the NPI (National Provider Identifier) 1174574099 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Kelly Reid-Waldock is physically located?
The Kelly Reid-Waldock is physically situated at the following address: 1295 Portland Avenue, Rochester, NY, 14621.
What is Kelly Reid-Waldock's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kelly Reid-Waldock is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1174574099 to Kelly Reid-Waldock?
The Centers for Medicare & Medicaid Services assigned the 1174574099 to Kelly Reid-Waldock on 2006-05-15.
When was the information regarding Kelly Reid-Waldock, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kelly Reid-Waldock, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-01-13.