National Provider Identifier

Kelsey Irving, PA-C

Kelsey Irving, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Buffalo, NY and a listed phone number of (716) 835-3097.

NPI 1114590916Buffalo, NYMedical Physician Assistant

Profile Overview

NPI
1114590916
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
July 20, 2021
Last Updated
July 20, 2021

Practice Location

  • 1616 Kensington Ave
  • Buffalo, NY 14215-1433

Phone: (716) 835-3097

Specialties

  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1114590916
Entity Type
Individual
Last Name
Irving
First Name
Kelsey
Credential
PA-C
Mailing Street Address
1616 Kensington Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-1433
Mailing Country
US
Mailing Phone
(716) 835-3097
Practice Street Address
1616 Kensington Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-1433
Practice Country
US
Practice Phone
(716) 835-3097
Enumeration Date
July 20, 2021
Last Updated
July 20, 2021
Sex
Female
Sole Proprietor
No
Certification Date
July 20, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)