National Provider Identifier

Kelly Yvonne Kloc

Kelly Yvonne Kloc is listed in the NPPES registry with a primary specialty of Pediatric Physical Therapist in East Aurora, NY and a listed phone number of (716) 239-1454.

NPI 1518139773East Aurora, NYPediatric Physical Therapist

Profile Overview

NPI
1518139773
Provider Type
Individual
Primary Specialty
Pediatric Physical Therapist
Enumeration Date
March 27, 2008
Last Updated
July 23, 2013

Practice Location

  • 504 Mill RD
  • East Aurora, NY 14052-2831

Phone: (716) 239-1454

Specialties

  • Pediatric Physical Therapist (2251P0200X)
Full Record
NPI
1518139773
Entity Type
Individual
Last Name
Kloc
First Name
Kelly
Middle Name
Yvonne
Name Prefix
Mrs.
Mailing Street Address
504 Mill RD
Mailing City
East Aurora
Mailing State
NY
Mailing ZIP Code
14052-2831
Mailing Country
US
Mailing Phone
(716) 239-1454
Practice Street Address
504 Mill RD
Practice City
East Aurora
Practice State
NY
Practice ZIP Code
14052-2831
Practice Country
US
Practice Phone
(716) 239-1454
Enumeration Date
March 27, 2008
Last Updated
July 23, 2013
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Physical Therapist (2251P0200X)