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
Fax: (716) 825-2850
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
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

Popular Providers