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KELLY SQUIRE
NPI 1154672731
Specialist in Medina, NY

Active since September 24, 2012
1024 PARK AVE, MEDINA, NY 14103(585) 478-2721 Get Directions Write a Review

NPPES record last updated: September 24, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kelly Squire NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY SQUIRE (NPI 1154672731) is an individual specialist in Medina, New York and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1154672731
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameKELLY SQUIRE
Location Address1024 PARK AVEMedina, NY 14103-1030
Mailing Address1024 Park AveMedina, NY 14103-1030 · (585) 478-2721
Phone(585) 478-2721
Sole ProprietorNo
Enumeration DateSeptember 24, 2012
✔ NPI 1154672731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1024 PARK AVE, Medina, NY 14103
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Squire's NPI number?

The NPI number for Kelly Squire is 1154672731. It was assigned to this individual provider in the NPPES registry on September 24, 2012.

Where is Kelly Squire located?

Kelly Squire practices at 1024 Park Ave, Medina, NY 14103. The listed phone number is (585) 478-2721.

What is Kelly Squire's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kelly Squire was last updated on September 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.