National Provider Identifier
Kelsey Korobov
Kelsey Korobov is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Williamsville, NY and a listed phone number of (716) 632-8050.
Profile Overview
- NPI
- 1063276988
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- February 12, 2024
- Last Updated
- October 03, 2024
Practice Location
- 25 Hopkins RD
- Williamsville, NY 14221-4695
Phone: (716) 632-8050
Mailing Address
- 294 Bedford Ave
- Buffalo, NY 14216-3104
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1063276988
- Entity Type
- Individual
- Last Name
- Korobov
- First Name
- Kelsey
- Mailing Street Address
- 294 Bedford Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14216-3104
- Mailing Country
- US
- Practice Street Address
- 25 Hopkins RD
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-4695
- Practice Country
- US
- Practice Phone
- (716) 632-8050
- Practice Fax
- (716) 632-2297
- Enumeration Date
- February 12, 2024
- Last Updated
- October 03, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 03, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)