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Mrs. Brenda Leaird Kelly, PA
Physician Assistant in Orchard Park, New York
NPI 1295760619

Brenda Leaird Kelly is a Physician Assistant based in Williamsville, NY. Brenda Leaird Kelly practices in Orchard Park, NY and has the professional credentials of PA. The NPI Number for Brenda Leaird Kelly is 1295760619 and holds a License No. 005508 (New York).

The current practice location address for Brenda Leaird Kelly is 3900 N Buffalo St, Orchard Park, NY and can be reached out via phone at 716-656-4816 and via fax at 716-817-1766.

Location: 3900 N Buffalo St, Orchard Park, NY, 14221-8235
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295760619
Provider Name
Brenda Leaird Kelly
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
3900 N Buffalo St, Orchard Park, NY, 14221-8235
Phone Number
716-656-4816
Fax Number
716-817-1766
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00338492 01 NY MEDICARE RAILROAD
000570209005 01 NY BCBS OF WNY
040909000003 01 NY FIDELIS CARE
180049FL 01 NY PREFERRED CARE
11563513 01 NY CAQH
9513175 01 NY IHA
institution
Provider Business Practice Location Address Details
Address
3900 N Buffalo St
City
Orchard Park
State
New York
Zip
14127-1842
Phone Number
716-656-4816
Fax Number
716-817-1766
person
Provider Business Mailing Address Details
Address
3900 N Buffalo St
City
Orchard Park
State
New York
Zip
14127-1842
Phone Number
716-656-4816
Fax Number
716-817-1766
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
005508 (New York)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
005508 ()
Definition
Definition to come...
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