Kelley, Kathleen Ann
Kelley, Kathleen Ann is an individual health care provider with primary practice located at 2943 Seneca Street , West Seneca NY 14224-1950. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Kelley, Kathleen Ann can be contacted via phone (716) 825-3601.Contact Information
Primary practice address
2943 Seneca Street
West Seneca NY 14224-1950
Phone: (716) 825-3601
Fax: (716) 825-2850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | RP0003513 | West Virginia |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 164393-1 | New York |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 21979 | West Virginia |
Profile Details
| NPI number | 1871501353 |
|---|---|
| LBN Legal business name | Kelley, Kathleen Ann |
| Credentials | MD, R.PH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Oct 10th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871501353 | NPPES |
| Other | 1706438 | INDEPENDENT HEALTH | |
| Other | 040426000362 | INDEPENDENT HEALTH | |
| Other | 00010089001 | INDEPENDENT HEALTH | |
| Other | 000527022003 | INDEPENDENT HEALTH | |
| MEDICAID | 01209521 | INDEPENDENT HEALTH | |
| Other | 0151643931 | INDEPENDENT HEALTH |
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