National Provider Identifier

Kate Tucker

Kate Tucker is listed in the NPPES registry with a primary specialty of Physician Assistant in Depew, NY and a listed phone number of (716) 608-7040.

NPI 1194421180Depew, NYPhysician Assistant

Profile Overview

NPI
1194421180
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
February 01, 2023
Last Updated
May 14, 2024

Practice Location

  • 4893 Transit RD
  • Depew, NY 14043-4698

Phone: (716) 608-7040

Mailing Address

  • PO Box 488
  • Buffalo, NY 14240-0488

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1194421180
Entity Type
Individual
Last Name
Tucker
First Name
Kate
Mailing Street Address
PO Box 488
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14240-0488
Mailing Country
US
Mailing Phone
(716) 852-4772
Practice Street Address
4893 Transit RD
Practice City
Depew
Practice State
NY
Practice ZIP Code
14043-4698
Practice Country
US
Practice Phone
(716) 608-7040
Enumeration Date
February 01, 2023
Last Updated
May 14, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
May 14, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)