National Provider Identifier
Kenyetta Shantel Oliver
Kenyetta Shantel Oliver is listed in the NPPES registry with a primary specialty of Counselor in Buffalo, NY and a listed phone number of (716) 854-2444.
Profile Overview
- NPI
- 1336710953
- Provider Type
- Individual
- Primary Specialty
- Counselor
- Enumeration Date
- July 06, 2021
- Last Updated
- July 06, 2021
Practice Location
- 291 Elm St
- Buffalo, NY 14203-1621
Phone: (716) 854-2444
Mailing Address
- 55 Dodge RD
- Getzville, NY 14068-1205
Specialties
- Counselor (101Y00000X)
Full Record
- NPI
- 1336710953
- Entity Type
- Individual
- Last Name
- Oliver
- First Name
- Kenyetta
- Middle Name
- Shantel
- Mailing Street Address
- 55 Dodge RD
- Mailing City
- Getzville
- Mailing State
- NY
- Mailing ZIP Code
- 14068-1205
- Mailing Country
- US
- Mailing Phone
- (716) 831-2700
- Practice Street Address
- 291 Elm St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1621
- Practice Country
- US
- Practice Phone
- (716) 854-2444
- Enumeration Date
- July 06, 2021
- Last Updated
- July 06, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 06, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Counselor (101Y00000X)