National Provider Identifier

Shannon Kamm

Shannon Kamm is listed in the NPPES registry with a primary specialty of Registered Dietitian in East Aurora, NY and a listed phone number of (716) 608-3110.

NPI 1861768764East Aurora, NYRegistered Dietitian

Profile Overview

NPI
1861768764
Provider Type
Individual
Primary Specialty
Registered Dietitian
Enumeration Date
March 26, 2012
Last Updated
March 26, 2012

Practice Location

  • 574 Main St Ste 203
  • East Aurora, NY 14052-1751

Phone: (716) 608-3110

Mailing Address

  • 811 Bird Ave Apt 2R
  • Buffalo, NY 14209-1078

Specialties

  • Registered Dietitian (133V00000X)
Full Record
NPI
1861768764
Entity Type
Individual
Last Name
Kamm
First Name
Shannon
Mailing Street Address
811 Bird Ave Apt 2R
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14209-1078
Mailing Country
US
Mailing Phone
(716) 536-0832
Practice Street Address
574 Main St Ste 203
Practice City
East Aurora
Practice State
NY
Practice ZIP Code
14052-1751
Practice Country
US
Practice Phone
(716) 608-3110
Enumeration Date
March 26, 2012
Last Updated
March 26, 2012
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Dietitian (133V00000X)