Most Relevant Information
Provider Data
| NPI Number: | 1003313206 |
| Provider Name: | COLLEEN KILBOURNE TRACY MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 307993 |
Most Important Dates
| Enumeration Date: | 04/12/2018 |
| Last Updated: | 07/12/2021 |
Provider Practice Location
777 CLINTON AVE S
ROCHESTER
NY
146201448
Practice Location Phone/Fax
| Phone: | 5852794763 |
| Fax: |
Provider Mailing Location
777 CLINTON AVE S
ROCHESTER
NY
146201448
Provider Mailing Phone/Fax
| Phone: | 5852794800 |
| Fax: |
Suggested EMR
Family Practice EMR