Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenmore Pediatric Assoc , PC

Organization Pediatrics Physician · NPI 1215957063

Kenmore Pediatric Assoc , PC is a Pediatrics Physician in Buffalo, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

341 Englewood Ave
Buffalo, NY 14223-2819
Phone: (716) 833-2333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 111276 (NY)

Record details

NPI number1215957063
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roger Forden — President · (716) 833-2333
NPI enumeratedJuly 21, 2006
Last updated in NPPESAugust 22, 2020
Mailing address341 Englewood Ave, Buffalo, NY 14223-2819

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