Kelly Lynn Manganello in Williamsville - Physician Assistant
Kelly Lynn Manganello - NPI 1669638953
Kelly Lynn Manganello is a Physician Assistant in Williamsville, New York. Kelly Lynn Manganello practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kelly Lynn Manganello is 1669638953. The last update date is 2016-05-11.
Kelly Lynn Manganello's current location address is 297 Spindrift Dr, Williamsville, New York. You can contact this provider via phone number 7168312600 and fax number 7168312601. The mailing address for Kelly Lynn Manganello is 297 Spindrift Dr, Williamsville, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Lynn Manganello |
|---|---|
| Address | 297 Spindrift Dr, Williamsville, New York |
| Phone Number | 7168312600 |
| Fax Number | 7168312601 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1669638953 |
|---|---|
| Provider Enumeration Date | 2008-08-06 |
| Last Updated Date | 2016-05-11 |
Provider Mailing Address Detail
| Address | 297 Spindrift Dr |
|---|---|
| City | Williamsville |
| State | New York (NY) |
| Post Code | 142217894 |
| Phone Number | 7168312600 |
| Fax Number | 7168312601 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 12668 |
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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 perfor |
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What is the unique 10-digit identification code issued to Kelly Lynn Manganello by the Centers for Medicare & Medicaid Services?
The Kelly Lynn Manganello has been assigned the NPI (National Provider Identifier) 1669638953 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Kelly Lynn Manganello?
The Kelly Lynn Manganello is situated at 297 Spindrift Dr, in the city of Williamsville, state of NY, with the zip code 142217894.
What is Kelly Lynn Manganello's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kelly Lynn Manganello's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Kelly Lynn Manganello receive the assignment of its 1669638953 from the Centers for Medicare & Medicaid Services?
The Kelly Lynn Manganello was issued its 1669638953 by the Centers for Medicare & Medicaid Services on 2008-08-06.
As of what date was the information regarding Kelly Lynn Manganello, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kelly Lynn Manganello, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-05-11.
NPI Number: 1962405878
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