National Provider Identifier
Kenneth A Kellick, PHARM.D.
Kenneth A Kellick, PHARM.D. is listed in the NPPES registry with a primary specialty of Pharmacotherapy Pharmacist in Buffalo, NY and a listed phone number of (716) 862-6335.
Profile Overview
- NPI
- 1881642726
- Provider Type
- Individual
- Primary Specialty
- Pharmacotherapy Pharmacist
- Enumeration Date
- May 04, 2006
- Last Updated
- July 08, 2007
Practice Location
- 3495 Bailey Ave
- Buffalo, NY 14215-1129
Phone: (716) 862-6335
Mailing Address
- 11 Rochelle Park
- Tonawanda, NY 14150-9311
Specialties
- Pharmacotherapy Pharmacist (1835P1200X)
Full Record
- NPI
- 1881642726
- Entity Type
- Individual
- Last Name
- Kellick
- First Name
- Kenneth
- Middle Name
- A
- Name Prefix
- Dr.
- Credential
- PHARM.D.
- Mailing Street Address
- 11 Rochelle Park
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14150-9311
- Mailing Country
- US
- Mailing Phone
- (716) 836-1071
- Mailing Fax
- (716) 862-9421
- Practice Street Address
- 3495 Bailey Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-1129
- Practice Country
- US
- Practice Phone
- (716) 862-6335
- Practice Fax
- (716) 962-6599
- Enumeration Date
- May 04, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacotherapy Pharmacist (1835P1200X)