Individual
DR. KEVIN JOSEPH HANLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
959 KENMORE AVE, BUFFALO, NY 14223-3160
(716) 871-1614
(716) 871-1519
Mailing address
959 KENMORE AVE, BUFFALO, NY 14223-3160
(716) 871-1614
(716) 871-1519
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
040059
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00982494
—
NY
Enumeration date
05/04/2006
Last updated
07/08/2007
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