Mark Anthony Kenyon
MD | Pediatric Emergency Medicine | Male
Mark Anthony Kenyon, MD is a Buffalo, New York based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Mark Anthony Kenyon is
818 Ellicott St, Buffalo, New York - 14203-1021. He can be contacted on phone at
716-323-0220 and fax number 716-323-0293.
Mark Anthony Kenyon is a sole proprietor of his business.
NPI number (Unique professional ID) for Mark Anthony Kenyon is
1881652238 which was assigned by NPPES on 03 May, 2006 and it was last updated on 13 Jan, 2021.
Mark Anthony Kenyon license number is
228634 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in New York.
Mark Anthony Kenyon has special qualifications to manage emergencies in infants and children.
Complete Profile:
Mark Anthony Kenyon basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
|---|
| Provider Name : | Mark Anthony Kenyon |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Mark Anthony Kenyon address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 818 Ellicott St
Buffalo, NY, 14203-1021
United States |
|---|
| Phone Number : | 716-323-0220 |
|---|
| Fax Number : | 716-323-0293 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1881652238 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 03 May, 2006 |
|---|
| Last Updated On : | 13 Jan, 2021 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark Anthony Kenyon are as mentioned. Primary taxonomy code for Mark Anthony Kenyon, MD is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 228634 | NY |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 228634 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Mark Anthony Kenyon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 02409052 | MEDICAID | NY | |
| 040426003098 | Other | | FIDELIS |
| 100831371001 | MEDICAID | PA | |
| 00026380601 | Other | | UNIVERA |
| 000527294001 | Other | | BC/BS |
| 1292497 | Other | | IHA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1001 Main St Fl 5
Buffalo, NY, 14203-1009
United States |
|---|
| Phone Number : | 716-323-0220 |
|---|
| Fax Number : | 716-323-0293 |
|---|
Business Location:
Patients can refer following map for directions to
Mark Anthony Kenyon practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.