National Provider Identifier
Kelly Alice Emerson, PA-C
Kelly Alice Emerson, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 645-9715.
Profile Overview
- NPI
- 1265273635
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- June 01, 2024
- Last Updated
- August 22, 2024
Practice Location
- 77 Goodell St Ste 340
- Buffalo, NY 14203-1243
Phone: (716) 645-9715
Mailing Address
- 7823 Hayes Hollow RD
- Colden, NY 14033-9776
Specialties
- Physician Assistant (363A00000X)
- Physician Assistant (363A00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1265273635
- Entity Type
- Individual
- Last Name
- Emerson
- First Name
- Kelly
- Middle Name
- Alice
- Name Prefix
- MS.
- Credential
- PA-C
- Mailing Street Address
- 7823 Hayes Hollow RD
- Mailing City
- Colden
- Mailing State
- NY
- Mailing ZIP Code
- 14033-9776
- Mailing Country
- US
- Practice Street Address
- 77 Goodell St Ste 340
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1243
- Practice Country
- US
- Practice Phone
- (716) 645-9715
- Enumeration Date
- June 01, 2024
- Last Updated
- August 22, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- August 22, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Physician Assistant (363A00000X), Student in an Organized Health Care Education/Training Program (390200000X)