National Provider Identifier

Kathryn Wirth, PA

Kathryn Wirth, PA is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Buffalo, NY and a listed phone number of (716) 995-4450.

NPI 1124420369Buffalo, NYSurgical Physician Assistant

Profile Overview

NPI
1124420369
Provider Type
Individual
Primary Specialty
Surgical Physician Assistant
Enumeration Date
September 18, 2014
Last Updated
July 20, 2020

Practice Location

  • 701 Seneca St Ste 646C
  • Buffalo, NY 14210-1351

Phone: (716) 995-4450

Mailing Address

  • 3332 Walden Ave
  • Ste 110
  • Depew, NY 14043-2400

Specialties

  • Surgical Physician Assistant (363AS0400X)
Full Record
NPI
1124420369
Entity Type
Individual
Last Name
Wirth
First Name
Kathryn
Credential
PA
Mailing Street Address
3332 Walden Ave
Mailing Address Line 2
Ste 110
Mailing City
Depew
Mailing State
NY
Mailing ZIP Code
14043-2400
Mailing Country
US
Mailing Phone
(716) 668-7051
Mailing Fax
(716) 668-7069
Practice Street Address
701 Seneca St Ste 646C
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14210-1351
Practice Country
US
Practice Phone
(716) 995-4450
Enumeration Date
September 18, 2014
Last Updated
July 20, 2020
Sex
Female
Sole Proprietor
No
Certification Date
July 20, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Surgical Physician Assistant (363AS0400X)