Individual
AMY KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2250 WEHRLE DR, SITE 1, WILLIAMSVILLE, NY 14221
(716) 276-2123
(716) 276-2129
Mailing address
884 TIFFT ST, BUFFALO, NY 14220-1845
(716) 823-3429
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
286395
NY
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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