National Provider Identifier
Kelly D. Berchou, M.D.
Kelly D. Berchou, M.D. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Buffalo, NY and a listed phone number of (716) 859-2589.
Profile Overview
- NPI
- 1720220593
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- March 25, 2009
- Last Updated
- November 12, 2019
Practice Location
- 100 High St
- Buffalo, NY 14203-1126
Phone: (716) 859-2589
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1720220593
- Entity Type
- Individual
- Last Name
- Berchou
- First Name
- Kelly
- Middle Name
- D.
- Credential
- M.D.
- Mailing Street Address
- 100 High St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-1126
- Mailing Country
- US
- Mailing Phone
- (716) 859-2589
- Mailing Fax
- (716) 859-2576
- Practice Street Address
- 100 High St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1126
- Practice Country
- US
- Practice Phone
- (716) 859-2589
- Practice Fax
- (716) 859-2576
- Enumeration Date
- March 25, 2009
- Last Updated
- November 12, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 03438442 (NY)