National Provider Identifier
Opal Kelly, MS
Opal Kelly, MS is listed in the NPPES registry with a primary specialty of Counselor in Buffalo, NY and a listed phone number of (716) 882-3151.
Profile Overview
- NPI
- 1952049405
- Provider Type
- Individual
- Primary Specialty
- Counselor
- Enumeration Date
- May 24, 2022
- Last Updated
- May 24, 2022
Practice Location
- 768 Delaware Ave
- Buffalo, NY 14209-2006
Phone: (716) 882-3151
Specialties
- Counselor (101Y00000X)
Full Record
- NPI
- 1952049405
- Entity Type
- Individual
- Last Name
- Kelly
- First Name
- Opal
- Credential
- MS
- Mailing Street Address
- 768 Delaware Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14209-2006
- Mailing Country
- US
- Practice Street Address
- 768 Delaware Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14209-2006
- Practice Country
- US
- Practice Phone
- (716) 882-3151
- Enumeration Date
- May 24, 2022
- Last Updated
- May 24, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- May 24, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Counselor (101Y00000X)