National Provider Identifier

Kathryn A Thomas

Kathryn A Thomas is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator in Penfield, NY and a listed phone number of (585) 425-9663.

NPI 1023613171Penfield, NYCase Manager/Care Coordinator

Profile Overview

NPI
1023613171
Provider Type
Individual
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
December 04, 2020
Last Updated
July 15, 2021

Practice Location

  • 100 Elderwood Ct
  • Penfield, NY 14526-1765

Phone: (585) 425-9663

Specialties

  • Case Manager/Care Coordinator (171M00000X)
Full Record
NPI
1023613171
Entity Type
Individual
Last Name
Thomas
First Name
Kathryn
Middle Name
A
Name Prefix
Mrs.
Provider Other Last Name
Distenfeld
Provider Other First Name
Kathryn
Provider Other Middle Name
A
Provider Other Last Name Type Code
1
Mailing Street Address
100 Elderwood Ct
Mailing City
Penfield
Mailing State
NY
Mailing ZIP Code
14526-1765
Mailing Country
US
Mailing Phone
(585) 425-9663
Mailing Fax
(585) 730-4592
Practice Street Address
100 Elderwood Ct
Practice City
Penfield
Practice State
NY
Practice ZIP Code
14526-1765
Practice Country
US
Practice Phone
(585) 425-9663
Practice Fax
(585) 388-8632
Enumeration Date
December 04, 2020
Last Updated
July 15, 2021
Sex
Female
Sole Proprietor
No
Certification Date
July 15, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Case Manager/Care Coordinator (171M00000X)