Provider Demographics
NPI:1730560103
Name:FARROW, KELLY MARIE (NP)
Entity type:Individual
Prefix:MS
First Name:KELLY
Middle Name:MARIE
Last Name:FARROW
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:601 ELMWOOD AVE BOX MED
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-273-2793
Mailing Address - Fax:585-273-1055
Practice Address - Street 1:500 HELENDALE RD STE 150
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14609-3167
Practice Address - Country:US
Practice Address - Phone:585-386-3860
Practice Address - Fax:585-326-3025
Is Sole Proprietor?:No
Enumeration Date:2015-06-11
Last Update Date:2025-05-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY339722363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily