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Keyana Ravenell
NPI 1750104345 · on the registry since 2024 · sole proprietor
Practice
- Address
- 155 Canal Landing Blvd Apt 636
Rochester, NY 14626 - Phone
- (585) 203-7497
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York