National Provider Identifier
Katie McMillen, PA
Katie McMillen, PA is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Canandaigua, NY and a listed phone number of (585) 393-3515.
Profile Overview
- NPI
- 1003331851
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- August 12, 2017
- Last Updated
- August 12, 2017
Practice Location
- 495 N Main St
- Canandaigua, NY 14424-1283
Phone: (585) 393-3515
Mailing Address
- 6470 Waterburg RD
- Trumansburg, NY 14886-9704
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1003331851
- Entity Type
- Individual
- Last Name
- McMillen
- First Name
- Katie
- Credential
- PA
- Mailing Street Address
- 6470 Waterburg RD
- Mailing City
- Trumansburg
- Mailing State
- NY
- Mailing ZIP Code
- 14886-9704
- Mailing Country
- US
- Practice Street Address
- 495 N Main St
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1283
- Practice Country
- US
- Practice Phone
- (585) 393-3515
- Enumeration Date
- August 12, 2017
- Last Updated
- August 12, 2017
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)