MRS. KELLY ELIZABETH ANDERSON
NPI 1619230455
Specialist in Lakewood, NY

Active since June 18, 2012
140 MALL BLVD, LAKEWOOD, NY 14750(716) 763-9070(716) 763-3580 Get Directions Write a Review

NPPES record last updated: June 18, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kelly Elizabeth Anderson NPPES

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

MRS. KELLY ELIZABETH ANDERSON (NPI 1619230455) is an individual specialist in Lakewood, New York and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1619230455
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMRS. KELLY ELIZABETH ANDERSON
Location Address140 MALL BLVDLakewood, NY 14750-2014
Mailing Address4635 Union RdCheektowaga, NY 14225-1851 · (716) 505-5700 · Fax (716) 633-9631
Fax(716) 763-3580
Sole ProprietorYes
Enumeration DateJune 18, 2012
NPI 1619230455 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.
140 MALL BLVD, Lakewood, NY 14750

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
140 MALL BLVD
LAKEWOOD, NY 14750

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 Kelly Anderson's NPI number?

The NPI number for Kelly Anderson is 1619230455. It was assigned to this individual provider in the NPPES registry on June 18, 2012.

Where is Kelly Anderson located?

Kelly Anderson practices at 140 Mall Blvd, Lakewood, NY 14750. The listed phone number is (716) 763-9070.

What is Kelly Anderson'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 Kelly Anderson was last updated on June 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.