Kelly M Jordan, PA
Physician Assistant in Amherst, NY. Individual provider (NPI-1).
NPI number1467624809
StatusActive
Last updated in NPPESNov 16, 2011
Details
- NPI
- 1467624809
- Entity type
- Individual (NPI-1)
- Name
- Kelly M Jordan
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2008
- Last updated
- Nov 16, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 012484 | NY | Yes |
Practice location
4949 Harlem RdAmherst, NY 14226-2500
Phone 716-204-3255 · Fax 716-204-4061
Mailing address
4949 Harlem RdAmherst, NY 14226-2500
Phone 716-204-3255 · Fax 716-204-4061
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All 123 Physician Assistant providers in Amherst · All 2,108 providers in Amherst
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