National Provider Identifier
Colleen Klos
Colleen Klos is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Williamsville, NY and a listed phone number of (716) 568-3514.
Profile Overview
- NPI
- 1003567603
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- January 14, 2022
- Last Updated
- January 14, 2022
Practice Location
- 1540 Maple RD
- Williamsville, NY 14221-3647
Phone: (716) 568-3514
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1003567603
- Entity Type
- Individual
- Last Name
- Klos
- First Name
- Colleen
- Mailing Street Address
- 1540 Maple RD
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-3647
- Mailing Country
- US
- Practice Street Address
- 1540 Maple RD
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-3647
- Practice Country
- US
- Practice Phone
- (716) 568-3514
- Enumeration Date
- January 14, 2022
- Last Updated
- January 14, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- January 14, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)