Individual
KELLY BURKHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
500 PINE ST STE 3, JAMESTOWN, NY 14701-5331
(716) 499-9245
Mailing address
3787 WESTMAN RD, BEMUS POINT, NY 14712-9511
(716) 499-9245
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS008930L
PA
103TC0700X
Clinical Psychologist
011032
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01281507
—
NY
Enumeration date
09/28/2006
Last updated
09/11/2025
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