National Provider Identifier

Kelly A Halcomb, RPA C

Kelly A Halcomb, RPA C is listed in the NPPES registry with a primary specialty of Physician Assistant in Hamburg, NY and a listed phone number of (716) 646-1084.

NPI 1811933856Hamburg, NYPhysician Assistant

Profile Overview

NPI
1811933856
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
June 20, 2006
Last Updated
July 20, 2014

Practice Location

  • 4855 Camp RD
  • Suite 100
  • Hamburg, NY 14075-2600

Phone: (716) 646-1084

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1811933856
Entity Type
Individual
Last Name
Halcomb
First Name
Kelly
Middle Name
A
Name Prefix
Mrs.
Credential
RPA C
Mailing Street Address
4855 Camp RD
Mailing Address Line 2
Suite 100
Mailing City
Hamburg
Mailing State
NY
Mailing ZIP Code
14075-2600
Mailing Country
US
Mailing Phone
(716) 646-1084
Mailing Fax
(716) 646-0763
Practice Street Address
4855 Camp RD
Practice Address Line 2
Suite 100
Practice City
Hamburg
Practice State
NY
Practice ZIP Code
14075-2600
Practice Country
US
Practice Phone
(716) 646-1084
Practice Fax
(716) 646-0763
Enumeration Date
June 20, 2006
Last Updated
July 20, 2014
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)
Other Identifiers
02651090 (NY)