National Provider Identifier
Kurtis Kiadum Suteh Kpajoh, DMSC, PA
Kurtis Kiadum Suteh Kpajoh, DMSC, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Amherst, NY and a listed phone number of (716) 541-0550.
Profile Overview
- NPI
- 1255595138
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 10, 2008
- Last Updated
- November 20, 2024
Practice Location
- 3921 Harlem RD
- Amherst, NY 14226-4703
Phone: (716) 541-0550
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1255595138
- Entity Type
- Individual
- Last Name
- Suteh Kpajoh
- First Name
- Kurtis Kiadum
- Name Prefix
- Dr.
- Credential
- DMSC, PA
- Mailing Street Address
- 3921 Harlem RD
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14226-4703
- Mailing Country
- US
- Mailing Phone
- (716) 541-0550
- Mailing Fax
- (315) 741-0779
- Practice Street Address
- 3921 Harlem RD
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226-4703
- Practice Country
- US
- Practice Phone
- (716) 541-0550
- Practice Fax
- (315) 741-0779
- Enumeration Date
- July 10, 2008
- Last Updated
- November 20, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- November 20, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- J400089155 (NY, Medicare Ptan), 03047683 (NY)