IndividualActive
Kelly Anderson
NPI 1619230455 · Specialist · Lakewood, NY
Kelly Anderson is a Specialist provider in Lakewood, NY (NPI 1619230455).
Provider details
- NPI number
- 1619230455
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
140 Mall Blvd
Lakewood, NY 14750-2014
Phone: (716) 763-9070
Fax: (716) 763-3580
Street-level locationGet directions
Mailing address
4635 Union Rd
Cheektowaga, NY 14225-1851
Registry dates
- Enumerated
- 2012-06-18
- Last updated
- 2012-06-18
Frequently asked questions
- What is Kelly Anderson's NPI number?
- Kelly Anderson's National Provider Identifier (NPI) is 1619230455, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Anderson's specialty?
- Kelly Anderson is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Kelly Anderson located?
- Kelly Anderson's practice location on file with NPPES is 140 Mall Blvd, Lakewood, NY 14750-2014.
- What is Kelly Anderson's phone number?
- The practice phone number listed in the NPPES registry for Kelly Anderson is (716) 763-9070.
- Is Kelly Anderson's NPI active?
- Yes — Kelly Anderson's NPI (1619230455) is active in the NPPES registry as of the last update on 2012-06-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.