Provider Demographics
NPI:1548026339
Name:CONNORS, KYLE
Entity type:Individual
Prefix:
First Name:KYLE
Middle Name:
Last Name:CONNORS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:KAL
Other - Middle Name:
Other - Last Name:CONNORS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:25 DARBY CIR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-1103
Mailing Address - Country:US
Mailing Address - Phone:585-750-2240
Mailing Address - Fax:
Practice Address - Street 1:274 N GOODMAN ST STE D103
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-1173
Practice Address - Country:US
Practice Address - Phone:585-325-3145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist