National Provider Identifier
Mary Jo Kish, NP
Mary Jo Kish, NP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Cheektowaga, NY and a listed phone number of (716) 906-5908.
Profile Overview
- NPI
- 1184074288
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- June 20, 2016
- Last Updated
- June 20, 2016
Practice Location
- 4225 Genesee St
- Cheektowaga, NY 14225-1994
Phone: (716) 906-5908
Mailing Address
- 462 Grider St
- Buffalo, NY 14215-3021
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
Full Record
- NPI
- 1184074288
- Entity Type
- Individual
- Last Name
- Kish
- First Name
- Mary Jo
- Credential
- NP
- Mailing Street Address
- 462 Grider St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-3021
- Mailing Country
- US
- Mailing Phone
- (716) 810-7999
- Practice Street Address
- 4225 Genesee St
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14225-1994
- Practice Country
- US
- Practice Phone
- (716) 906-5908
- Enumeration Date
- June 20, 2016
- Last Updated
- June 20, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X)