Healthcare Provider Details

I. General information

NPI: 1346257680
Provider Name (Legal Business Name): DONNA M KAIN RN, CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 GATES CIR ENDOCRINOLOGY DEPARTMENT
BUFFALO NY
14209-1120
US

IV. Provider business mailing address

3 GATES CIR ENDOCRINOLOGY DEPARTMENT
BUFFALO NY
14209-1120
US

V. Phone/Fax

Practice location:
  • Phone: 716-887-4113
  • Fax:
Mailing address:
  • Phone: 716-887-4113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number3801621
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: