NPI 1003217514
Kelly Gordon
Practice location
- Address
- 1280 Main St, Buffalo, NY 14209-1912
- Phone
- (716) 882-4357
- Fax
- (716) 882-0293
- Mailing address
- 227 Thorn Ave, Orchard Park, NY 14127-2600
Registered specialties
Counselor
Primary
Registry record
- NPI
- 1003217514
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Sep 2014
- Record last updated
- 16 Sep 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.