National Provider Identifier
Kelly Amedick
Kelly Amedick is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Batavia, NY and a listed phone number of (585) 344-0584.
Profile Overview
- NPI
- 1053034777
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- September 20, 2022
- Last Updated
- September 20, 2022
Practice Location
- 278 Bank St
- Batavia, NY 14020-1616
Phone: (585) 344-0584
Mailing Address
- 9484 Putnam RD
- Batavia, NY 14020-9797
Specialties
- Licensed Practical Nurse (164W00000X)
Endpoints
- kamedick@premiergenesee.com
Direct Messaging Address | Health Information Exchange (Hie) | Other | Batavia, NY 14020
Email
Full Record
- NPI
- 1053034777
- Entity Type
- Individual
- Last Name
- Amedick
- First Name
- Kelly
- Provider Other Last Name
- Johnson
- Provider Other First Name
- Kelly
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 9484 Putnam RD
- Mailing City
- Batavia
- Mailing State
- NY
- Mailing ZIP Code
- 14020-9797
- Mailing Country
- US
- Mailing Phone
- (585) 815-3820
- Practice Street Address
- 278 Bank St
- Practice City
- Batavia
- Practice State
- NY
- Practice ZIP Code
- 14020-1616
- Practice Country
- US
- Practice Phone
- (585) 344-0584
- Practice Fax
- (585) 300-4526
- Enumeration Date
- September 20, 2022
- Last Updated
- September 20, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 20, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)