Leaird Kelly, Brenda
Leaird Kelly, Brenda is an individual health care provider with primary practice located at 3900 N Buffalo St , Orchard Park NY 14127-1842. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Leaird Kelly, Brenda can be contacted via phone (716) 656-4816.Contact Information
Primary practice address
3900 N Buffalo St
Orchard Park NY 14127-1842
Phone: (716) 656-4816
Fax: (716) 817-1766
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 005508 | |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 005508 | New York |
Profile Details
NPI number | 1295760619 |
---|---|
LBN Legal business name | Leaird Kelly, Brenda |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 12th, 2006 |
Last updated | Dec 20th, 2021 - about 3 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 | 1295760619 | NPPES |
New York | Other | P00338492 | MEDICARE RAILROAD |
New York | Other | 000570209005 | MEDICARE RAILROAD |
New York | Other | 040909000003 | MEDICARE RAILROAD |
New York | Other | 180049FL | MEDICARE RAILROAD |
New York | Other | 11563513 | MEDICARE RAILROAD |
New York | Other | 9513175 | MEDICARE RAILROAD |
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