Individual provider · Type 1 NPI

Mary Jo Kish, NP

Adult Health Nurse Practitioner · Cheektowaga, NY

NPI number 1184074288 Active

Practice location

4225 Genesee St
Cheektowaga, NY 14225-1994

Mailing address

462 Grider St
Buffalo, NY 14215-3021

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X307734 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1184074288

Mary Jo Kish, NP's National Provider Identifier is 1184074288, issued on Jun 20, 2016. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Cheektowaga, NY. The record was last updated on Jun 20, 2016.