National Provider Identifier
Kelly Lynn Manganello, P.A.
Kelly Lynn Manganello, P.A. is listed in the NPPES registry with a primary specialty of Physician Assistant in Williamsville, NY and a listed phone number of (716) 831-2600.
Profile Overview
- NPI
- 1669638953
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- August 06, 2008
- Last Updated
- May 11, 2016
Practice Location
- 297 Spindrift Dr
- Williamsville, NY 14221-7894
Phone: (716) 831-2600
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1669638953
- Entity Type
- Individual
- Last Name
- Manganello
- First Name
- Kelly
- Middle Name
- Lynn
- Credential
- P.A.
- Provider Other Last Name
- Manno
- Provider Other First Name
- Kelly
- Provider Other Middle Name
- Lynn
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 297 Spindrift Dr
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-7894
- Mailing Country
- US
- Mailing Phone
- (716) 831-2600
- Mailing Fax
- (716) 831-2601
- Practice Street Address
- 297 Spindrift Dr
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-7894
- Practice Country
- US
- Practice Phone
- (716) 831-2600
- Practice Fax
- (716) 831-2601
- Enumeration Date
- August 06, 2008
- Last Updated
- May 11, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)