Knickerbocker, Kelly Jeanne
Knickerbocker, Kelly Jeanne is an individual health care provider with primary practice located at 1415 Portland Ave Ste 400 , Rochester NY 14621-3022. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Knickerbocker, Kelly Jeanne can be contacted via phone (585) 922-4200.Contact Information
Primary practice address
1415 Portland Ave Ste 400
Rochester NY 14621-3022
Phone: (585) 922-4200
Fax: (585) 922-4922
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | 002473 | New York |
Profile Details
| NPI number | 1912863416 |
|---|---|
| LBN Legal business name | Knickerbocker, Kelly Jeanne |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2025 |
| Last updated | Mar 23rd, 2026 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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