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NPI Code Detail

MEDICARE: KELLY SHARROW

MEDICARE: KELLY SHARROW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorNY

General Provider Information

NPI Number : 1184567315
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY SHARROW
Provider Business Mailing Address
First Line : 12 PIPERS MEADOW TRL
Second Line :
City : PENFIELD
State : NY
Zip : 14526-1154
Country : US
Telephone Number : 585-287-5626
Fax Number :
Provider Business Practice Location Address
First Line : 150 MOUNT HOPE AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14620-1016
Country : US
Telephone Number : 585-287-5626
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ KELLY SHARROW ” Practice Location

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