National Provider Identifier

Kelly Standage

Kelly Standage is listed in the NPPES registry with a primary specialty of Health Educator in Buffalo, NY and a listed phone number of (716) 431-5100.

NPI 1073195491Buffalo, NYHealth Educator

Profile Overview

NPI
1073195491
Provider Type
Individual
Primary Specialty
Health Educator
Enumeration Date
April 26, 2021
Last Updated
April 26, 2021

Practice Location

  • 742 Delaware Ave
  • Buffalo, NY 14209-2202

Phone: (716) 431-5100

Mailing Address

  • 155 Chapel Woods
  • Williamsville, NY 14221-1867

Specialties

  • Health Educator (174H00000X)
Full Record
NPI
1073195491
Entity Type
Individual
Last Name
Standage
First Name
Kelly
Mailing Street Address
155 Chapel Woods
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-1867
Mailing Country
US
Mailing Phone
(716) 570-6382
Practice Street Address
742 Delaware Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14209-2202
Practice Country
US
Practice Phone
(716) 431-5100
Enumeration Date
April 26, 2021
Last Updated
April 26, 2021
Sex
Female
Sole Proprietor
No
Certification Date
April 26, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Health Educator (174H00000X)