Individual provider · Type 1 NPI

Kelly Elizabeth Anderson

Specialist · Lakewood, NY

NPI number 1619230455 Active

Practice location

140 Mall Blvd
Lakewood, NY 14750-2014

Fax (716) 763-3580

Mailing address

4635 Union Rd
Cheektowaga, NY 14225-1851

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1619230455

Kelly Elizabeth Anderson's National Provider Identifier is 1619230455, issued on Jun 18, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lakewood, NY. The record was last updated on Jun 18, 2012.