National Provider Identifier
Shannon Kelly Quackenbush, CRNA
Shannon Kelly Quackenbush, CRNA is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist in Buffalo, NY and a listed phone number of (716) 323-6658.
Profile Overview
- NPI
- 1730709486
- Provider Type
- Individual
- Primary Specialty
- Certified Registered Nurse Anesthetist
- Enumeration Date
- April 23, 2020
- Last Updated
- August 01, 2025
Practice Location
- 1001 Main St Ste K-3502
- Buffalo, NY 14203-1009
Phone: (716) 323-6658
Mailing Address
- 1001 Main St # K3502
- Buffalo, NY 14203-1009
Specialties
- Certified Registered Nurse Anesthetist (367500000X)
- Certified Registered Nurse Anesthetist (367500000X)
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1730709486
- Entity Type
- Individual
- Last Name
- Quackenbush
- First Name
- Shannon
- Middle Name
- Kelly
- Credential
- CRNA
- Mailing Street Address
- 1001 Main St # K3502
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-1009
- Mailing Country
- US
- Mailing Phone
- (716) 323-6570
- Practice Street Address
- 1001 Main St Ste K-3502
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1009
- Practice Country
- US
- Practice Phone
- (716) 323-6658
- Enumeration Date
- April 23, 2020
- Last Updated
- August 01, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 01, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Certified Registered Nurse Anesthetist (367500000X), Certified Registered Nurse Anesthetist (367500000X), Registered Nurse (163W00000X)