Individual
DR. KENNETH A KELLICK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
3495 BAILEY AVE, BUFFALO, NY 14215-1129
(716) 862-6335
(716) 962-6599
Mailing address
11 ROCHELLE PARK, TONAWANDA, NY 14150-9311
(716) 836-1071
(716) 862-9421
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
27493-1
NY
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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