Individual
RAYMOND KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2950 ELMWOOD AVE, BUFFALO, NY 14217-1304
(716) 447-6100
Mailing address
40 GATES CIR UPPR, BUFFALO, NY 14209-1143
(585) 880-8832
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
310122
NY
207P00000X
Emergency Medicine Physician
Primary
4301115520
MI
Other
Enumeration date
06/11/2018
Last updated
07/02/2021
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