IndividualActive
Kelly Squire
NPI 1154672731 · Specialist · Medina, NY
Kelly Squire is a Specialist provider in Medina, NY (NPI 1154672731).
Provider details
- NPI number
- 1154672731
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1024 Park Ave
Medina, NY 14103-1030
Phone: (585) 478-2721
Street-level locationGet directions
Mailing address
1024 Park Ave
Medina, NY 14103-1030
Registry dates
- Enumerated
- 2012-09-24
- Last updated
- 2012-09-24
Frequently asked questions
- What is Kelly Squire's NPI number?
- Kelly Squire's National Provider Identifier (NPI) is 1154672731, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Squire's specialty?
- Kelly Squire is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Kelly Squire located?
- Kelly Squire's practice location on file with NPPES is 1024 Park Ave, Medina, NY 14103-1030.
- What is Kelly Squire's phone number?
- The practice phone number listed in the NPPES registry for Kelly Squire is (585) 478-2721.
- Is Kelly Squire's NPI active?
- Yes — Kelly Squire's NPI (1154672731) is active in the NPPES registry as of the last update on 2012-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.