National Provider Identifier
Kimberly B Prise, M.D.
Kimberly B Prise, M.D. is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Lancaster, NY and a listed phone number of (716) 668-5331.
Profile Overview
- NPI
- 1205813680
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- December 28, 2005
- Last Updated
- September 29, 2022
Practice Location
- 4711 Transit RD
- Lancaster, NY 14043-4888
Phone: (716) 668-5331
Specialties
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1205813680
- Entity Type
- Individual
- Last Name
- Prise
- First Name
- Kimberly
- Middle Name
- B
- Credential
- M.D.
- Mailing Street Address
- 4711 Transit RD
- Mailing City
- Lancaster
- Mailing State
- NY
- Mailing ZIP Code
- 14043-4888
- Mailing Country
- US
- Mailing Phone
- (716) 668-5331
- Mailing Fax
- (716) 668-5370
- Practice Street Address
- 4711 Transit RD
- Practice City
- Lancaster
- Practice State
- NY
- Practice ZIP Code
- 14043-4888
- Practice Country
- US
- Practice Phone
- (716) 668-5331
- Practice Fax
- (716) 668-5370
- Enumeration Date
- December 28, 2005
- Last Updated
- September 29, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 29, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X)
- Other Identifiers
- 00020521904 (NY), 040426001948 (NY, Fidelis), 1210687 (NY, Iha), 146561DL (NY, Preferred Care), 00020521904 (NY, Univera), 000525567004 (NY, Bc/Bs)