Individual
KELLY DENALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 COMO PARK BLVD, CHEEKTOWAGA, NY 14227-1416
(716) 601-3692
Mailing address
225 COMO PARK BLVD, CHEEKTOWAGA, NY 14227-1416
(716) 601-3692
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306646-1
NY
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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