National Provider Identifier
Alexis Rose Kennedy
Alexis Rose Kennedy is listed in the NPPES registry with a primary specialty of Peer Specialist in Buffalo, NY and a listed phone number of (716) 819-3420.
Profile Overview
- NPI
- 1134762990
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- October 24, 2019
- Last Updated
- October 24, 2019
Practice Location
- 3350 Main St
- Buffalo, NY 14214-1316
Phone: (716) 819-3420
Specialties
- Peer Specialist (175T00000X)
Full Record
- NPI
- 1134762990
- Entity Type
- Individual
- Last Name
- Kennedy
- First Name
- Alexis
- Middle Name
- Rose
- Mailing Street Address
- 3350 Main St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14214-1316
- Mailing Country
- US
- Mailing Phone
- (716) 819-3420
- Practice Street Address
- 3350 Main St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214-1316
- Practice Country
- US
- Practice Phone
- (716) 819-3420
- Enumeration Date
- October 24, 2019
- Last Updated
- October 24, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X)