National Provider Identifier
Gregory Daren Kelly
Gregory Daren Kelly is listed in the NPPES registry with a primary specialty of Counselor in Buffalo, NY and a listed phone number of (716) 545-0605.
Profile Overview
- NPI
- 1023721636
- Provider Type
- Individual
- Primary Specialty
- Counselor
- Enumeration Date
- December 28, 2022
- Last Updated
- December 28, 2022
Practice Location
- 4511 Harlem RD
- Buffalo, NY 14226-3803
Phone: (716) 545-0605
Specialties
- Counselor (101Y00000X)
Full Record
- NPI
- 1023721636
- Entity Type
- Individual
- Last Name
- Kelly
- First Name
- Gregory
- Middle Name
- Daren
- Name Prefix
- Mr.
- Mailing Street Address
- 4511 Harlem RD
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14226-3803
- Mailing Country
- US
- Mailing Phone
- (716) 545-0605
- Practice Street Address
- 4511 Harlem RD
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14226-3803
- Practice Country
- US
- Practice Phone
- (716) 545-0605
- Enumeration Date
- December 28, 2022
- Last Updated
- December 28, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- December 28, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Counselor (101Y00000X)