National Provider Identifier
Keshia Mumford
Keshia Mumford is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 816-2580.
Profile Overview
- NPI
- 1891548913
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- April 09, 2024
- Last Updated
- April 09, 2024
Practice Location
- 400 Forest Ave
- Buffalo, NY 14213-1207
Phone: (716) 816-2580
Mailing Address
- 28 Tamarack St
- Buffalo, NY 14220-1731
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1891548913
- Entity Type
- Individual
- Last Name
- Mumford
- First Name
- Keshia
- Mailing Street Address
- 28 Tamarack St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14220-1731
- Mailing Country
- US
- Mailing Phone
- (716) 603-9039
- Practice Street Address
- 400 Forest Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14213-1207
- Practice Country
- US
- Practice Phone
- (716) 816-2580
- Enumeration Date
- April 09, 2024
- Last Updated
- April 09, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 09, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)