National Provider Identifier

Kelly E Farrell, PA

Kelly E Farrell, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Kenmore, NY and a listed phone number of (716) 529-3070.

NPI 1386252005Kenmore, NYPhysician Assistant

Profile Overview

NPI
1386252005
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
July 20, 2020
Last Updated
July 20, 2020

Practice Location

  • 2950 Elmwood Ave # A1
  • Kenmore, NY 14217-1304

Phone: (716) 529-3070

Mailing Address

  • 167 Bauman RD
  • Amherst, NY 14221-3803

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1386252005
Entity Type
Individual
Last Name
Farrell
First Name
Kelly
Middle Name
E
Credential
PA
Mailing Street Address
167 Bauman RD
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14221-3803
Mailing Country
US
Mailing Phone
(716) 697-0986
Practice Street Address
2950 Elmwood Ave # A1
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-1304
Practice Country
US
Practice Phone
(716) 529-3070
Enumeration Date
July 20, 2020
Last Updated
July 20, 2020
Sex
Female
Sole Proprietor
No
Certification Date
July 20, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)