Individual
JAMES J KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3925 SHERIDAN DR, AMHERST, NY 14226-1738
(716) 250-9999
Mailing address
3925 SHERIDAN DR, AMHERST, NY 14226-1738
(716) 250-9999
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
189303
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010089101
UNIVERA
NY
01
—
000524163001
BLUE CROSS BLUE SHIELD
NY
05
—
01438013
—
NY
01
—
0905716
INDEPENDENT HEALTH
NY
01
—
OPCOS189303
WORKERS COMPENSATION BOAR
NY
Enumeration date
07/28/2005
Last updated
03/01/2018
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