Organization
GREAT LAKES UROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
K KENT CHEVLI MD (MANAGING PHYSICIAN)
(716) 844-5600
Entity
Organization
Contact information
Practice address
3085 HARLEM RD STE 200, CHEEKTOWAGA, NY 14225-2591
(716) 844-5000
(716) 844-5750
Mailing address
3085 HARLEM RD STE 350, CHEEKTOWAGA, NY 14225-2591
(716) 844-5600
(168) 445-7507
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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