Kelly Kaczor, PA

NPI #1104355973 in Amherst, New York

Provider Information

NPI Number: 1104355973
Entity Type: Individual
Name: Kelly Kaczor, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jun 6, 2017
Last Updated: Jun 6, 2017

Practice Location

Address: 4955 N BAILEY AVE STE 202
City: Amherst
State: New York
ZIP Code: 14226-1206
Phone: (716) 832-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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