Individual
MARK ANTHONY KENYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
818 ELLICOTT ST, BUFFALO, NY 14203-1021
(716) 323-0220
(716) 323-0293
Mailing address
1001 MAIN ST FL 5, BUFFALO, NY 14203-1009
(716) 323-0220
(716) 323-0293
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
228634
NY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
228634
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026380601
UNIVERA
—
01
—
000527294001
BC/BS
—
05
—
02409052
—
NY
01
—
040426003098
FIDELIS
—
05
—
100831371001
—
PA
01
—
1292497
IHA
—
Enumeration date
05/03/2006
Last updated
01/13/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us