National Provider Identifier
Mark Anthony Kenyon, MD
Mark Anthony Kenyon, MD is listed in the NPPES registry with a primary specialty of Pediatric Emergency Medicine (Pediatrics) Physician in Buffalo, NY and a listed phone number of (716) 323-0220.
Profile Overview
- NPI
- 1881652238
- Provider Type
- Individual
- Primary Specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- Enumeration Date
- May 03, 2006
- Last Updated
- January 13, 2021
Practice Location
- 818 Ellicott St
- Buffalo, NY 14203-1021
Phone: (716) 323-0220
Mailing Address
- 1001 Main St Fl 5
- Buffalo, NY 14203-1009
Specialties
- Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X)
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1881652238
- Entity Type
- Individual
- Last Name
- Kenyon
- First Name
- Mark
- Middle Name
- Anthony
- Credential
- MD
- Mailing Street Address
- 1001 Main St Fl 5
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-1009
- Mailing Country
- US
- Mailing Phone
- (716) 323-0220
- Mailing Fax
- (716) 323-0293
- Practice Street Address
- 818 Ellicott St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1021
- Practice Country
- US
- Practice Phone
- (716) 323-0220
- Practice Fax
- (716) 323-0293
- Enumeration Date
- May 03, 2006
- Last Updated
- January 13, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- January 13, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), Pediatrics Physician (208000000X)
- Other Identifiers
- 1292497 (Iha), 040426003098 (Fidelis), 100831371001 (PA), 00026380601 (Univera), 000527294001 (Bc/Bs), 02409052 (NY)