National Provider Identifier
Kelsea O'Rourke
Kelsea O'Rourke is listed in the NPPES registry with a primary specialty of Registered Dietitian in Buffalo, NY and a listed phone number of (716) 826-1000.
Profile Overview
- NPI
- 1699508093
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- August 21, 2024
- Last Updated
- August 21, 2024
Practice Location
- 2157 Main St
- Buffalo, NY 14214-2648
Phone: (716) 826-1000
Mailing Address
- 2157 Main St
- Attn: Clinical Nutrition Department
- Buffalo, NY 14214-2648
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1699508093
- Entity Type
- Individual
- Last Name
- O'Rourke
- First Name
- Kelsea
- Mailing Street Address
- 2157 Main St
- Mailing Address Line 2
- Attn: Clinical Nutrition Department
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14214-2648
- Mailing Country
- US
- Practice Street Address
- 2157 Main St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214-2648
- Practice Country
- US
- Practice Phone
- (716) 826-1000
- Enumeration Date
- August 21, 2024
- Last Updated
- August 21, 2024
- Sex
- U
- Sole Proprietor
- No
- Certification Date
- August 21, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)