National Provider Identifier
Kelly Kaczor, PA
Kelly Kaczor, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Amherst, NY and a listed phone number of (716) 832-8500.
Profile Overview
- NPI
- 1104355973
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- June 06, 2017
- Last Updated
- June 06, 2017
Practice Location
- 4955 N Bailey Ave Ste 202
- Amherst, NY 14226-1206
Phone: (716) 832-8500
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1104355973
- Entity Type
- Individual
- Last Name
- Kaczor
- First Name
- Kelly
- Credential
- PA
- Mailing Street Address
- 4955 N Bailey Ave Ste 202
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14226-1206
- Mailing Country
- US
- Mailing Phone
- (716) 832-8500
- Practice Street Address
- 4955 N Bailey Ave Ste 202
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226-1206
- Practice Country
- US
- Practice Phone
- (716) 832-8500
- Enumeration Date
- June 06, 2017
- Last Updated
- June 06, 2017
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)