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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY KACZOR, PA

Active Sole Proprietor

KELLY KACZOR, PA is a Physician Assistant healthcare provider located in AMHERST, New York. NPI 1104355973 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · AMHERST, NY

Registration Details

NPI Number
1104355973
Provider Type
Individual
Gender
Female
NPI Issued
Jun 6, 2017 (9.2056409833555 yrs)
Last Updated
Jun 6, 2017
Sole Proprietor
Yes

Practice Information

Address
4955 N BAILEY AVE STE 202
AMHERST, NY, 142261206
Browse NY providers · Browse ZIP 14226
Phone
7168328500
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in AMHERST, NY

Name Credential NPI
ALLYSON LAETITA KIRK RPA-C 1407852973
MR. JASON A SANTIAGO PA 1568450989
NYCOLE BRONG PA 1790765741
ANGELINA MARIA RYAN PA 1285606152
KAREN BAETZHOLD R.P.A. 1235198219
NATALIE MILLER-KOVACHIK RPA 1780643767
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.