Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelley Stephan, MSED

Individual provider Specialist · NPI 1003663774

Kelley Stephan, MSED is a Specialist in Victor, New York. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

590 Fishers Station Dr Ste 130
Victor, NY 14564-9744
Phone: (585) 924-7207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1003663774
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED
Sole proprietorNo
NPI enumeratedMay 1, 2024
Last updated in NPPESMay 1, 2024
Certification dateMay 1, 2024
Mailing address590 Fishers Station Dr Ste 130, Victor, NY 14564-9744

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