National Provider Identifier

Keilen Leigh-Ann Sam

Keilen Leigh-Ann Sam is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Dunkirk, NY and a listed phone number of (716) 363-2233.

NPI 1114442167Dunkirk, NYFamily Nurse Practitioner

Profile Overview

NPI
1114442167
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
August 11, 2017
Last Updated
June 03, 2021

Practice Location

  • 3898 Vineyard Dr
  • Dunkirk, NY 14048-3559

Phone: (716) 363-2233

Mailing Address

  • 908 Niagara Falls Blvd Ste 208
  • North Tonawanda, NY 14120-2019

Specialties

  • Family Nurse Practitioner (363LF0000X)
  • Registered Nurse (163W00000X)
Full Record
NPI
1114442167
Entity Type
Individual
Last Name
Sam
First Name
Keilen
Middle Name
Leigh-Ann
Mailing Street Address
908 Niagara Falls Blvd Ste 208
Mailing City
North Tonawanda
Mailing State
NY
Mailing ZIP Code
14120-2019
Mailing Country
US
Mailing Phone
(716) 692-2160
Practice Street Address
3898 Vineyard Dr
Practice City
Dunkirk
Practice State
NY
Practice ZIP Code
14048-3559
Practice Country
US
Practice Phone
(716) 363-2233
Enumeration Date
August 11, 2017
Last Updated
June 03, 2021
Sex
Female
Sole Proprietor
No
Certification Date
May 12, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X), Registered Nurse (163W00000X)