National Provider Identifier
Kevin Shum
Kevin Shum is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 834-9200.
Profile Overview
- NPI
- 1053066993
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- February 18, 2022
- Last Updated
- February 18, 2022
Practice Location
- 3495 Bailey Ave
- Buffalo, NY 14215-1129
Phone: (716) 834-9200
Mailing Address
- 311 Capen Blvd
- Buffalo, NY 14226-3015
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1053066993
- Entity Type
- Individual
- Last Name
- Shum
- First Name
- Kevin
- Mailing Street Address
- 311 Capen Blvd
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14226-3015
- Mailing Country
- US
- Practice Street Address
- 3495 Bailey Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-1129
- Practice Country
- US
- Practice Phone
- (716) 834-9200
- Enumeration Date
- February 18, 2022
- Last Updated
- February 18, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- February 18, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)