National Provider Identifier

Robert Martin Kennuth

Robert Martin Kennuth is listed in the NPPES registry with a primary specialty of Athletic Trainer in Buffalo, NY and a listed phone number of (716) 829-8309.

NPI 1538446844Buffalo, NYAthletic Trainer

Profile Overview

NPI
1538446844
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
November 15, 2011
Last Updated
November 15, 2011

Practice Location

  • 329 Porter Ave
  • D'Youville College
  • Buffalo, NY 14201

Phone: (716) 829-8309

Mailing Address

  • 4805 Transit RD Apt 2903
  • Depew, NY 14043-4911

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1538446844
Entity Type
Individual
Last Name
Kennuth
First Name
Robert
Middle Name
Martin
Mailing Street Address
4805 Transit RD Apt 2903
Mailing City
Depew
Mailing State
NY
Mailing ZIP Code
14043-4911
Mailing Country
US
Practice Street Address
329 Porter Ave
Practice Address Line 2
D'Youville College
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14201
Practice Country
US
Practice Phone
(716) 829-8309
Enumeration Date
November 15, 2011
Last Updated
November 15, 2011
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)