National Provider Identifier
Kelly N. Courtade
Kelly N. Courtade is listed in the NPPES registry with a primary specialty of Specialist in Kenmore, NY and a listed phone number of (716) 871-9883.
Profile Overview
- NPI
- 1891999546
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- June 14, 2007
- Last Updated
- July 08, 2007
Practice Location
- 2565 Elmwood Ave
- Kenmore, NY 14217-1939
Phone: (716) 871-9883
Mailing Address
- 5609 Green Meadow Ct
- Hamburg, NY 14075-5887
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1891999546
- Entity Type
- Individual
- Last Name
- Courtade
- First Name
- Kelly
- Middle Name
- N.
- Mailing Street Address
- 5609 Green Meadow Ct
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075-5887
- Mailing Country
- US
- Mailing Phone
- (716) 871-9883
- Mailing Fax
- (716) 871-9887
- Practice Street Address
- 2565 Elmwood Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1939
- Practice Country
- US
- Practice Phone
- (716) 871-9883
- Practice Fax
- (716) 871-9887
- Enumeration Date
- June 14, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)