National Provider Identifier

Kelsey Anne Smith, PA-C

Kelsey Anne Smith, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 845-2300.

NPI 1609245299Buffalo, NYPhysician Assistant

Profile Overview

NPI
1609245299
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
September 24, 2015
Last Updated
February 10, 2021

Practice Location

  • Elm And Carlton Streets
  • Buffalo, NY 14263-0001

Phone: (716) 845-2300

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1609245299
Entity Type
Individual
Last Name
Smith
First Name
Kelsey
Middle Name
Anne
Credential
PA-C
Provider Other Last Name
Bezon
Provider Other First Name
Kelsey
Provider Other Middle Name
Anne
Provider Other Credential Text
PA-C
Provider Other Last Name Type Code
1
Mailing Street Address
Elm And Carlton Streets
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14263-0001
Mailing Country
US
Mailing Phone
(716) 845-2300
Practice Street Address
Elm And Carlton Streets
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14263-0001
Practice Country
US
Practice Phone
(716) 845-2300
Enumeration Date
September 24, 2015
Last Updated
February 10, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
February 10, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)
Other Identifiers
04463012 (NY)