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KENWOOD PEDIATRICS
NPI 1063611192
Specialist in Buffalo, NY

Active since July 18, 2007
2121 MAIN ST, STE 119, BUFFALO, NY 14214(716) 838-6655 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenwood Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENWOOD PEDIATRICS (NPI 1063611192) is a healthcare organization registered as a specialist in Buffalo, New York and active in the NPI registry since July 2007. The organization lists Grace Dimitroff, Physician, as its authorized official.

NPPES Registry Identity

NPI1063611192
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKENWOOD PEDIATRICS
Location Address2121 MAIN ST, STE 119Buffalo, NY 14214
Mailing Address381 Kenmore AveBuffalo, NY 14223-2861 · (716) 838-1560 · Fax (716) 833-1221
Phone(716) 838-6655
Organization SubpartNo
Authorized OfficialGrace DimitroffPhysician · (716) 838-6655
Enumeration DateJuly 18, 2007
Last NPPES UpdateApril 20, 2020
NPPES CertifiedApril 20, 2020
✔ NPI 1063611192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2121 MAIN ST, STE 119, Buffalo, NY 14214
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenwood Pediatrics's NPI number?

The NPI number for Kenwood Pediatrics is 1063611192. It was assigned to this organization in the NPPES registry on July 18, 2007.

Where is Kenwood Pediatrics located?

Kenwood Pediatrics is located at 2121 Main St, Ste 119, Buffalo, NY 14214. The listed phone number is (716) 838-6655.

What is Kenwood Pediatrics's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kenwood Pediatrics was last updated on April 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.