National Provider Identifier
Kaitlyn Elizabeth Diperna, PA-C
Kaitlyn Elizabeth Diperna, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Painted Post, NY and a listed phone number of (607) 936-2089.
Profile Overview
- NPI
- 1215277793
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- February 21, 2013
- Last Updated
- November 24, 2020
Practice Location
- 418 S Hamilton St # 109
- Painted Post, NY 14870-9705
Phone: (607) 936-2089
Mailing Address
- 571 Saint Josephs Blvd Fl 2
- Elmira, NY 14901-3230
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1215277793
- Entity Type
- Individual
- Last Name
- Diperna
- First Name
- Kaitlyn
- Middle Name
- Elizabeth
- Credential
- PA-C
- Provider Other Last Name
- Wiggins
- Provider Other First Name
- Kaitlyn
- Provider Other Middle Name
- Elizabeth
- Provider Other Credential Text
- PA-C
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 571 Saint Josephs Blvd Fl 2
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3230
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Mailing Fax
- (607) 873-1244
- Practice Street Address
- 418 S Hamilton St # 109
- Practice City
- Painted Post
- Practice State
- NY
- Practice ZIP Code
- 14870-9705
- Practice Country
- US
- Practice Phone
- (607) 936-2089
- Enumeration Date
- February 21, 2013
- Last Updated
- November 24, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 24, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 04925375 (NY)