Provider Demographics
NPI:1295051886
Name:ANDRZEJEWSKI, KELLY LYNN (DO, PHD)
Entity type:Individual
Prefix:DR
First Name:KELLY
Middle Name:LYNN
Last Name:ANDRZEJEWSKI
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Gender:F
Credentials:DO, PHD
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Mailing Address - Street 1:601 ELMWOOD AVE
Mailing Address - Street 2:BOX 278984
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-341-7500
Mailing Address - Fax:585-341-7510
Practice Address - Street 1:919 WESTFALL RD
Practice Address - Street 2:BLDG. C - SUITE 220
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-2638
Practice Address - Country:US
Practice Address - Phone:585-341-7500
Practice Address - Fax:585-341-7510
Is Sole Proprietor?:No
Enumeration Date:2010-04-08
Last Update Date:2014-07-01
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Provider Licenses
StateLicense IDTaxonomies
NY2742462084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology