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.

NPI 1215277793Painted Post, NYPhysician Assistant

Source: public NPPES record, last updated November 24, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

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)

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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
Taxonomies
Physician Assistant (363A00000X)
Other Identifiers
04925375 (NY)