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1417371600
KRISTIE KEENE
ROCHESTER, NY
NPI
1417371600
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Former Name
KRISTIE GENSHEIMER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 017293)
Enumeration Date
2014-02-10
Last Update Date
2020-01-20
Business Address
Ms. KRISTIE KEENE PA
1415 PORTLAND AVE STE 245
ROCHESTER, NY 14621-3022
Phone number: 585-922-4715
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Mailing Address
Ms. KRISTIE KEENE PA
100 KINGS HWY S
ROCHESTER, NY 14617-5504
Phone number: 585-922-4715
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