National Provider Identifier
Kimberly Lai Brady, MD
Kimberly Lai Brady, MD is listed in the NPPES registry with a primary specialty of MOHS-Micrographic Surgery Physician in Buffalo, NY and a listed phone number of (716) 845-2300.
Profile Overview
- NPI
- 1619119658
- Provider Type
- Individual
- Primary Specialty
- MOHS-Micrographic Surgery Physician
- Enumeration Date
- April 06, 2009
- Last Updated
- November 29, 2023
Practice Location
- Elm And Carlton Streets
- Buffalo, NY 14263-0001
Phone: (716) 845-2300
Specialties
- MOHS-Micrographic Surgery Physician (207ND0101X)
- Dermatology Physician (207N00000X)
Full Record
- NPI
- 1619119658
- Entity Type
- Individual
- Last Name
- Brady
- First Name
- Kimberly
- Middle Name
- Lai
- Credential
- MD
- Provider Other Last Name
- Lai
- Provider Other First Name
- Kimberly
- Provider Other Middle Name
- Wing Kwan
- 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
- Mailing Fax
- (716) 845-3285
- 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
- Practice Fax
- (716) 845-3285
- Enumeration Date
- April 06, 2009
- Last Updated
- November 29, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 29, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- MOHS-Micrographic Surgery Physician (207ND0101X), Dermatology Physician (207N00000X)