National Provider Identifier
Kelly M Jordan, PA
Kelly M Jordan, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Amherst, NY and a listed phone number of (716) 204-3255.
Profile Overview
- NPI
- 1467624809
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- March 26, 2008
- Last Updated
- November 16, 2011
Practice Location
- 4949 Harlem RD
- Amherst, NY 14226-2500
Phone: (716) 204-3255
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1467624809
- Entity Type
- Individual
- Last Name
- Jordan
- First Name
- Kelly
- Middle Name
- M
- Credential
- PA
- Mailing Street Address
- 4949 Harlem RD
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14226-2500
- Mailing Country
- US
- Mailing Phone
- (716) 204-3255
- Mailing Fax
- (716) 204-4061
- Practice Street Address
- 4949 Harlem RD
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226-2500
- Practice Country
- US
- Practice Phone
- (716) 204-3255
- Practice Fax
- (716) 204-4061
- Enumeration Date
- March 26, 2008
- Last Updated
- November 16, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)