National Provider Identifier
Kelly Ganzenmuller, M.ED
Kelly Ganzenmuller, M.ED is listed in the NPPES registry with a primary specialty of Specialist in Buffalo, NY and a listed phone number of (716) 819-2408.
Profile Overview
- NPI
- 1124885124
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- March 05, 2024
- Last Updated
- March 05, 2024
Practice Location
- 462 Grider St
- Buffalo, NY 14215-3098
Phone: (716) 819-2408
Mailing Address
- 10305 Clarence Center RD
- Clarence, NY 14031-1003
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1124885124
- Entity Type
- Individual
- Last Name
- Ganzenmuller
- First Name
- Kelly
- Credential
- M.ED
- Mailing Street Address
- 10305 Clarence Center RD
- Mailing City
- Clarence
- Mailing State
- NY
- Mailing ZIP Code
- 14031-1003
- Mailing Country
- US
- Mailing Phone
- (716) 465-1808
- Practice Street Address
- 462 Grider St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3098
- Practice Country
- US
- Practice Phone
- (716) 819-2408
- Practice Fax
- (716) 819-2419
- Enumeration Date
- March 05, 2024
- Last Updated
- March 05, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 05, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)