National Provider Identifier
Mary Alice Kelly, MD
Mary Alice Kelly, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in West Seneca, NY and a listed phone number of (716) 675-0707.
Source: public NPPES record, last updated October 19, 2012. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1053361816
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- May 11, 2006
- Last Updated
- October 19, 2012
Practice Location
- 1900 Ridge RD
- Ste 130
- West Seneca, NY 14224-3332
Phone: (716) 675-0707
Mailing Address
- 1900 Ridge RD
- Ste130
- West Seneca, NY 14224-3332
Specialties
- Internal Medicine Physician (207R00000X)
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Biography
Dr. Mary Alice Kelly is a West Seneca internal medicine physician whose background includes an MD from the University at Buffalo Jacobs School of Medicine and Biomedical Sciences and residency training with Kaleida Health System. Public profiles also list her as affiliated with Mercy Hospital of Buffalo, with additional Buffalo-area hospital affiliations reported by Healthline.
Full Record
- NPI
- 1053361816
- Entity Type
- Individual
- Last Name
- Kelly
- First Name
- Mary
- Middle Name
- Alice
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 1900 Ridge RD
- Mailing Address Line 2
- Ste130
- Mailing City
- West Seneca
- Mailing State
- NY
- Mailing ZIP Code
- 14224-3332
- Mailing Country
- US
- Mailing Phone
- (716) 675-0707
- Mailing Fax
- (716) 961-3706
- Practice Street Address
- 1900 Ridge RD
- Practice Address Line 2
- Ste 130
- Practice City
- West Seneca
- Practice State
- NY
- Practice ZIP Code
- 14224-3332
- Practice Country
- US
- Practice Phone
- (716) 675-0707
- Practice Fax
- (716) 961-3706
- Enumeration Date
- May 11, 2006
- Last Updated
- October 19, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 0401537 (Iha), 00010089201 (Univera), 000500738001 (BCBS)