National Provider Identifier

Kellie N Schwartz, PA-C

Kellie N Schwartz, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Williamsville, NY and a listed phone number of (716) 631-3555.

NPI 1184681090Williamsville, NYMedical Physician Assistant

Profile Overview

NPI
1184681090
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
April 26, 2006
Last Updated
March 25, 2014

Practice Location

  • 400 International Dr
  • Williamsville, NY 14221-5771

Phone: (716) 631-3555

Specialties

  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1184681090
Entity Type
Individual
Last Name
Schwartz
First Name
Kellie
Middle Name
N
Name Prefix
Mrs.
Credential
PA-C
Provider Other Last Name
McGranor
Provider Other First Name
Kellie
Provider Other Middle Name
N
Provider Other Credential Text
PA-C
Provider Other Last Name Type Code
1
Mailing Street Address
400 International Dr
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-5771
Mailing Country
US
Mailing Phone
(716) 631-3555
Mailing Fax
(716) 631-9525
Practice Street Address
400 International Dr
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-5771
Practice Country
US
Practice Phone
(716) 631-3555
Practice Fax
(716) 631-9525
Enumeration Date
April 26, 2006
Last Updated
March 25, 2014
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)
Other Identifiers
9513121 (NY, Independent Health)