National Provider Identifier
Kevin Lange
Kevin Lange is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Registered Nurse in Buffalo, NY and a listed phone number of (716) 885-2261.
Profile Overview
- NPI
- 1477324168
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Registered Nurse
- Enumeration Date
- January 11, 2024
- Last Updated
- January 11, 2024
Practice Location
- 400 Forest Ave
- Buffalo, NY 14213-1207
Phone: (716) 885-2261
Mailing Address
- PO Box 665
- Hamburg, NY 14075-0665
Specialties
- Psychiatric/Mental Health Registered Nurse (163WP0808X)
Full Record
- NPI
- 1477324168
- Entity Type
- Individual
- Last Name
- Lange
- First Name
- Kevin
- Provider Other Last Name
- Lange
- Provider Other First Name
- Kevin
- Provider Other Credential Text
- RN
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- PO Box 665
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075-0665
- Mailing Country
- US
- Practice Street Address
- 400 Forest Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14213-1207
- Practice Country
- US
- Practice Phone
- (716) 885-2261
- Enumeration Date
- January 11, 2024
- Last Updated
- January 11, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- January 08, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Registered Nurse (163WP0808X)