National Provider Identifier
Kevin Lyon, DO
Kevin Lyon, DO is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Buffalo, NY and a listed phone number of (716) 656-4479.
Profile Overview
- NPI
- 1538629605
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- March 23, 2019
- Last Updated
- June 27, 2022
Practice Location
- 85 High St
- Buffalo, NY 14203-1194
Phone: (716) 656-4479
Mailing Address
- 425 Essjay RD Ste 170
- Williamsville, NY 14221-8235
Specialties
- Family Medicine Physician (207Q00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1538629605
- Entity Type
- Individual
- Last Name
- Lyon
- First Name
- Kevin
- Credential
- DO
- Mailing Street Address
- 425 Essjay RD Ste 170
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-8235
- Mailing Country
- US
- Mailing Phone
- (716) 630-1219
- Practice Street Address
- 85 High St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1194
- Practice Country
- US
- Practice Phone
- (716) 656-4479
- Practice Fax
- (716) 250-5986
- Enumeration Date
- March 23, 2019
- Last Updated
- June 27, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 27, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X), Student in an Organized Health Care Education/Training Program (390200000X)