Provider Demographics
NPI:1043394224
Name:PIVER, KENNETH STUART (MD)
Entity Type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:STUART
Last Name:PIVER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:897 DELAWARE AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14209-2087
Mailing Address - Country:US
Mailing Address - Phone:716-881-4646
Mailing Address - Fax:716-881-4647
Practice Address - Street 1:897 DELAWARE AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14209-2087
Practice Address - Country:US
Practice Address - Phone:716-881-4646
Practice Address - Fax:716-881-4647
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2008-11-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2490262084P0800X
CAA726332084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry