National Provider Identifier
Kristen Deacon
Kristen Deacon is listed in the NPPES registry with a primary specialty of Physician Assistant in Williamsville, NY and a listed phone number of (716) 422-5422.
Profile Overview
- NPI
- 1154036093
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- January 16, 2023
- Last Updated
- June 02, 2025
Practice Location
- 45 Spindrift Dr
- Williamsville, NY 14221-7889
Phone: (716) 422-5422
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1154036093
- Entity Type
- Individual
- Last Name
- Deacon
- First Name
- Kristen
- Mailing Street Address
- 45 Spindrift Dr
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-7889
- Mailing Country
- US
- Mailing Phone
- (716) 422-5422
- Mailing Fax
- (716) 422-5420
- Practice Street Address
- 45 Spindrift Dr
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-7889
- Practice Country
- US
- Practice Phone
- (716) 422-5422
- Practice Fax
- (716) 422-5420
- Enumeration Date
- January 16, 2023
- Last Updated
- June 02, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- June 02, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)