National Provider Identifier

Kevin Baumgartner

Kevin Baumgartner is listed in the NPPES registry with a primary specialty of Specialist in Lockport, NY and a listed phone number of (716) 478-4751.

NPI 1457607509Lockport, NYSpecialist

Profile Overview

NPI
1457607509
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
July 26, 2012
Last Updated
July 26, 2012

Practice Location

  • 51 High St
  • Lockport, NY 14094-4333

Phone: (716) 478-4751

Specialties

  • Specialist (174400000X)
Full Record
NPI
1457607509
Entity Type
Individual
Last Name
Baumgartner
First Name
Kevin
Mailing Street Address
51 High St
Mailing City
Lockport
Mailing State
NY
Mailing ZIP Code
14094-4333
Mailing Country
US
Mailing Phone
(716) 478-4751
Mailing Fax
(716) 478-4755
Practice Street Address
51 High St
Practice City
Lockport
Practice State
NY
Practice ZIP Code
14094-4333
Practice Country
US
Practice Phone
(716) 478-4751
Practice Fax
(716) 478-4755
Enumeration Date
July 26, 2012
Last Updated
July 26, 2012
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)