National Provider Identifier
Kelly Marie Rausch, PNP
Kelly Marie Rausch, PNP is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 852-1578.
Profile Overview
- NPI
- 1982703674
- Provider Type
- Individual
- Primary Specialty
- Pediatric Nurse Practitioner
- Enumeration Date
- September 21, 2006
- Last Updated
- January 25, 2021
Practice Location
- 1021 Broadway St
- Buffalo, NY 14212-1460
Phone: (716) 852-1578
Mailing Address
- 1001 Main St Fl 5
- Buffalo, NY 14203-1009
Specialties
- Pediatric Nurse Practitioner (363LP0200X)
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1982703674
- Entity Type
- Individual
- Last Name
- Rausch
- First Name
- Kelly
- Middle Name
- Marie
- Name Prefix
- MS.
- Credential
- PNP
- 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) 323-0034
- Mailing Fax
- (716) 323-0292
- Practice Street Address
- 1021 Broadway St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14212-1460
- Practice Country
- US
- Practice Phone
- (716) 852-1578
- Practice Fax
- (716) 852-5154
- Enumeration Date
- September 21, 2006
- Last Updated
- January 25, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 25, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Nurse Practitioner (363LP0200X), Registered Nurse (163W00000X)
- Other Identifiers
- 00027206901 (NY, Univera), 9512852 (NY, Iha), 02665525 (NY), 080407000087 (NY, Fidelis), 000560953001 (NY, Bc/Bs), 050816000026 (NY, Fidelis)