| Kenton Family Care Center | |
|
300 Two Mile Creek Rd Tonawanda NY 14150-6618 | |
| (716) 447-6450 | |
| Not Available |
| Full Name | Kenton Family Care Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 300 Two Mile Creek Rd, Tonawanda, New York |
| Authorized Official Name and Position | Irina Volkova (MD) |
| Authorized Official Contact | 7164476100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenton Family Care Center 300 Two Mile Creek Rd Tonawanda NY 14150-6618 Ph: (716) 447-6450 | Kenton Family Care Center 300 Two Mile Creek Rd Tonawanda NY 14150-6618 Ph: (716) 447-6450 |
| NPI Number | 1821263518 |
|---|---|
| Provider Enumeration Date | 04/24/2008 |
| Last Update Date | 04/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821263518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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