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

Kelly Squire

Individual provider Specialist · NPI 1154672731

Kelly Squire is a Specialist in Medina, New York. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

1024 Park Ave
Medina, NY 14103-1030
Phone: (585) 478-2721
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1154672731
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 24, 2012
Last updated in NPPESSeptember 24, 2012
Mailing address1024 Park Ave, Medina, NY 14103-1030

Other providers in Medina