National Provider Identifier
Kiley Bax, MD
Kiley Bax, MD is listed in the NPPES registry with a primary specialty of Allergy & Immunology Physician in Niagara Falls, NY and a listed phone number of (716) 285-7366.
Profile Overview
- NPI
- 1801216858
- Provider Type
- Individual
- Primary Specialty
- Allergy & Immunology Physician
- Enumeration Date
- April 17, 2014
- Last Updated
- April 12, 2022
Practice Location
- 700 Park Pl
- Niagara Falls, NY 14301-1028
Phone: (716) 285-7366
Specialties
- Allergy & Immunology Physician (207K00000X)
Full Record
- NPI
- 1801216858
- Entity Type
- Individual
- Last Name
- Bax
- First Name
- Kiley
- Credential
- MD
- Mailing Street Address
- 700 Park Pl
- Mailing City
- Niagara Falls
- Mailing State
- NY
- Mailing ZIP Code
- 14301-1028
- Mailing Country
- US
- Mailing Phone
- (171) 628-5736
- Practice Street Address
- 700 Park Pl
- Practice City
- Niagara Falls
- Practice State
- NY
- Practice ZIP Code
- 14301-1028
- Practice Country
- US
- Practice Phone
- (716) 285-7366
- Practice Fax
- (716) 285-2580
- Enumeration Date
- April 17, 2014
- Last Updated
- April 12, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- April 12, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Allergy & Immunology Physician (207K00000X)