National Provider Identifier

Kaitlyn Marie Lipka, PA-C

Kaitlyn Marie Lipka, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Buffalo, NY and a listed phone number of (716) 859-3317.

NPI 1225632789Buffalo, NYMedical Physician Assistant

Profile Overview

NPI
1225632789
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
November 25, 2020
Last Updated
November 25, 2020

Practice Location

  • 100 High St
  • Buffalo, NY 14203-1126

Phone: (716) 859-3317

Mailing Address

  • 2998 Cloverbank RD
  • Hamburg, NY 14075-3432

Specialties

  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1225632789
Entity Type
Individual
Last Name
Lipka
First Name
Kaitlyn
Middle Name
Marie
Credential
PA-C
Mailing Street Address
2998 Cloverbank RD
Mailing City
Hamburg
Mailing State
NY
Mailing ZIP Code
14075-3432
Mailing Country
US
Mailing Phone
(716) 713-9734
Practice Street Address
100 High St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-1126
Practice Country
US
Practice Phone
(716) 859-3317
Enumeration Date
November 25, 2020
Last Updated
November 25, 2020
Sex
Female
Sole Proprietor
No
Certification Date
November 25, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)