National Provider Identifier
Kevin R Penberthy
Kevin R Penberthy is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (716) 505-5630.
Profile Overview
- NPI
- 1427144880
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- October 05, 2006
- Last Updated
- July 08, 2007
Practice Location
- 7 Community Dr
- Buffalo, NY 14225-2523
Phone: (716) 505-5630
Mailing Address
- 297 Curtis Pkwy
- Buffalo, NY 14223-1833
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1427144880
- Entity Type
- Individual
- Last Name
- Penberthy
- First Name
- Kevin
- Middle Name
- R
- Mailing Street Address
- 297 Curtis Pkwy
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14223-1833
- Mailing Country
- US
- Mailing Phone
- (716) 835-0596
- Practice Street Address
- 7 Community Dr
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14225-2523
- Practice Country
- US
- Practice Phone
- (716) 505-5630
- Practice Fax
- (716) 892-1936
- Enumeration Date
- October 05, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)