Individual provider · Type 1 NPI

Kevin Shum

Student in an Organized Health Care Education/Training Program · Buffalo, NY

NPI number 1053066993 Active

Practice location

3495 Bailey Ave
Buffalo, NY 14215-1129

Call (716) 834-9200 Map

Mailing address

311 Capen Blvd
Buffalo, NY 14226-3015

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053066993

Kevin Shum's National Provider Identifier is 1053066993, issued on Feb 18, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Buffalo, NY. The record was last updated on Feb 18, 2022.