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

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