Provider Demographics
NPI:1023278082
Name:KENYON SAVARD, GIUSEPPINA JEAN (DO)
Entity type:Individual
Prefix:MRS
First Name:GIUSEPPINA
Middle Name:JEAN
Last Name:KENYON SAVARD
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4515 MILITARY RD
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14305-1335
Mailing Address - Country:US
Mailing Address - Phone:716-236-7880
Mailing Address - Fax:716-229-4551
Practice Address - Street 1:4515 MILITARY RD
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14305-1335
Practice Address - Country:US
Practice Address - Phone:716-236-7880
Practice Address - Fax:716-229-4551
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-13
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY245534207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine