National Provider Identifier
Kelly Stark
Kelly Stark is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Buffalo, NY and a listed phone number of (716) 836-5929.
Profile Overview
- NPI
- 1336615574
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- October 15, 2018
- Last Updated
- October 15, 2018
Practice Location
- 2495 Main St
- Buffalo, NY 14214-2152
Phone: (716) 836-5929
Mailing Address
- 2495 Main St Ste 234
- Buffalo, NY 14214-2152
Specialties
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1336615574
- Entity Type
- Individual
- Last Name
- Stark
- First Name
- Kelly
- Mailing Street Address
- 2495 Main St Ste 234
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14214-2152
- Mailing Country
- US
- Practice Street Address
- 2495 Main St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214-2152
- Practice Country
- US
- Practice Phone
- (716) 836-5929
- Enumeration Date
- October 15, 2018
- Last Updated
- October 15, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)