National Provider Identifier

Kenneth L Gayles, M.D.

Kenneth L Gayles, M.D. is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician in Buffalo, NY and a listed phone number of (716) 895-1100.

NPI 1295764454Buffalo, NYCardiovascular Disease Physician

Profile Overview

NPI
1295764454
Provider Type
Individual
Primary Specialty
Cardiovascular Disease Physician
Enumeration Date
July 01, 2006
Last Updated
July 08, 2007

Practice Location

  • 840 Humboldt Pkwy
  • Buffalo, NY 14211-1217

Phone: (716) 895-1100

Specialties

  • Cardiovascular Disease Physician (207RC0000X)
Full Record
NPI
1295764454
Entity Type
Individual
Last Name
Gayles
First Name
Kenneth
Middle Name
L
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
840 Humboldt Pkwy
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14211-1217
Mailing Country
US
Mailing Phone
(716) 895-1100
Mailing Fax
(716) 895-7615
Practice Street Address
840 Humboldt Pkwy
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14211-1217
Practice Country
US
Practice Phone
(716) 895-1100
Practice Fax
(716) 895-7615
Enumeration Date
July 01, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Cardiovascular Disease Physician (207RC0000X)
Other Identifiers
000010104240 (NY, Fidelis), 00010061001 (NY, Univera Healthcare), 000507349001 (NY, Bc/Bs Of Wny), 00608397 (NY), 0098639 (NY, Ghi), 2100466 (NY, Independent Health)