National Provider Identifier

Tracy Lynn Keller, SEIT

Tracy Lynn Keller, SEIT is listed in the NPPES registry with a primary specialty of Specialist in Orchard Park, NY and a listed phone number of (716) 662-4800.

NPI 1538868781Orchard Park, NYSpecialist

Profile Overview

NPI
1538868781
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
February 27, 2023
Last Updated
February 27, 2023

Practice Location

  • 6167 W Quaker St
  • Orchard Park, NY 14127-2640

Phone: (716) 662-4800

Mailing Address

  • 5252 Burt RD
  • Cuba, NY 14727-9612

Specialties

  • Specialist (174400000X)
Full Record
NPI
1538868781
Entity Type
Individual
Last Name
Keller
First Name
Tracy
Middle Name
Lynn
Name Prefix
Mrs.
Credential
SEIT
Mailing Street Address
5252 Burt RD
Mailing City
Cuba
Mailing State
NY
Mailing ZIP Code
14727-9612
Mailing Country
US
Mailing Phone
(716) 397-9031
Practice Street Address
6167 W Quaker St
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-2640
Practice Country
US
Practice Phone
(716) 662-4800
Practice Fax
(716) 662-5700
Enumeration Date
February 27, 2023
Last Updated
February 27, 2023
Sex
Female
Sole Proprietor
No
Certification Date
February 27, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)