MRS. BRENDA LEAIRD KELLY


Address: 899 Main Street, William E Mosher Health Center, Buffalo, NY 14203
Phone: 7168782700

MRS. BRENDA LEAIRD KELLY (NPI# 1295760619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295760619
Entity Type Individual
Full Name MRS. BRENDA LEAIRD KELLY
Other Name BRENDA LEAIRD BRIE
Credential PA
Practice Address 899 Main Street
William E Mosher Health Center
Buffalo
NY 14203
Mailing Address 800 Carter Street
Rochester
NY 14621
Practice Telephone 7168782700
Practice Fax Number 7165045544
Mailing Telephone 5853394793
Mailing Fax Number 5853364845
Enumeration Date 2006-07-12
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
005508 Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY PREFERRED CARE 180049FL 01
NY FIDELIS CARE 040909000003 01
NY IHA 9513175 01
NY BCBS OF WNY 000570209005 01
NY CAQH 11563513 01
NY MEDICARE RAILROAD P00338492 01

Office Location

Street Address 899 MAIN STREET
WILLIAM E MOSHER HEALTH CENTER
City BUFFALO
State NY
Zip Code 14203

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265535751 Paul D Bruschini Physical Therapist 899 Main Street, William E Mosher Health Center, Buffalo, NY 14203 2006-09-07
1407958309 Rathini C Packianathan Dentist 899 Main Street, Buffalo, NY 14203 2006-09-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912514902 Valerie Anne Conley Counselor 475 Elllicott St., Buffalo, NY 14203 2020-09-24
1457975674 Qing Ma Pharmacist Nys Center of Excellence In Bioinformatics and Life Sci, 701 Ellicott Street, Buffalo, NY 14203 2020-06-03
1265056659 Elizabeth Nicole Mancuso Student in an Organized Health Care Education/Training Program 1001 Main Street University At Buffalo, Department of P, 5th Floor, Buffalo, NY 14203 2020-06-02
1720601404 Ronak Dhiraj Bahuva Student in an Organized Health Care Education/Training Program 955 Main Street, University At Buffalo, Jacobs School O, Buffalo, NY 14203 2020-05-28
1780207266 Jaya Mishra Student in an Organized Health Care Education/Training Program 818 Ellicot Street, Buffalo, NY 14203 2020-05-19
1013530617 Amanpreet Kaur Singh Student in an Organized Health Care Education/Training Program 77 Goodell Street Department of Medicine, Suite 240, Buffalo, NY 14203 2020-05-19
1013538917 Leen Hosam Alyacoub Student in an Organized Health Care Education/Training Program 100 High Street, D2-76 Buffalo, Ny 14203, Buffalo Gener, Buffall, NY 14203 2020-05-01
1003436601 Maxiam Dean Student in an Organized Health Care Education/Training Program Ub Family Residency Program, 77 Goodell Street, 2nd Floor, Buffalo, NY 14203 2020-04-23
1144849837 Jennifer Anthone-kloss Student in an Organized Health Care Education/Training Program Anesthesiology Residency & Fellowship Programs, Ub Gateway, 77 Goodell Street, Suite 550, Buffalo, NY 14203 2020-04-13
1821658873 Peter William Ip Fung Chun Student in an Organized Health Care Education/Training Program 1001 Main Street, Room 5145, Division of Pediatric Medical Education, Buffalo, NY 14203 2019-06-20
Find all providers in zip 14203

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316460413 Katherine Susanne Miller Physician Assistant 2121 Main St Ste 316, Buffalo, NY 14214-2673 2017-07-20
1306023866 Nicole C Scovazzo Physician Assistant 30 N Union Rd Ste 104, Buffalo, NY 14221-5367 2008-01-28
1730294851 Patrick Losito Physician Assistant 515 Abbott Rd., Suite 101, Buffalo, NY 14220 2006-08-20
1033167127 Jennifer Lynn Noble Physician Assistant 875 Ellicott Street, Gates Vascular Institute, Buffalo, NY 14203 2006-05-04
1386626117 Andrew M Dybalski Physician Assistant 700 Michigan Ave, Buffalo, NY 14203-1514 2005-11-17
1548828031 Chloe Anna Carver Physician Assistant 462 Grider St, Buffalo, NY 14215-3098 2019-05-30
1770084329 Rachel Michele Watt Physician Assistant 2157 Main St, Buffalo, NY 14214-2648 2018-02-27
1194255505 Kurtis Matthew Downey Physician Assistant 565 Abbott Rd, Buffalo, NY 14220-2039 2017-06-18
1124420369 Kathryn Wirth Physician Assistant 701 Seneca St Ste 646c, Buffalo, NY 14210-1351 2014-09-18
1932513991 Neal Siejka Physician Assistant 700 Michigan Ave, Suite 210, Buffalo, NY 14203-1536 2014-06-18
Find all providers in BUFFALO

Competitor

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City BUFFALO
Zip Code 14203

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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