National Provider Identifier

Kathleen Mary Minyard, RN

Kathleen Mary Minyard, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Buffalo, NY and a listed phone number of (716) 856-2587.

NPI 1164680666Buffalo, NYRegistered Nurse

Profile Overview

NPI
1164680666
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
May 30, 2008
Last Updated
May 30, 2008

Practice Location

  • 430 Niagara Street
  • Act Program
  • Buffalo, NY 14201

Phone: (716) 856-2587

Mailing Address

  • 254 Franklin Street
  • Lake Shore Behavioral Health
  • Buffalo, NY 14202

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1164680666
Entity Type
Individual
Last Name
Minyard
First Name
Kathleen
Middle Name
Mary
Name Prefix
Mrs.
Credential
RN
Mailing Street Address
254 Franklin Street
Mailing Address Line 2
Lake Shore Behavioral Health
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14202
Mailing Country
US
Mailing Phone
(716) 842-0440
Mailing Fax
(716) 842-4069
Practice Street Address
430 Niagara Street
Practice Address Line 2
Act Program
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14201
Practice Country
US
Practice Phone
(716) 856-2587
Practice Fax
(716) 856-2608
Enumeration Date
May 30, 2008
Last Updated
May 30, 2008
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)
Other Identifiers
5747401 (NY, Registered Nurse)