National Provider Identifier
Kerry L Katlic, M.D.
Kerry L Katlic, M.D. is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Penfield, NY and a listed phone number of (585) 922-0460.
Profile Overview
- NPI
- 1306814660
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- March 10, 2006
- Last Updated
- May 12, 2011
Practice Location
- 2067 Fairport Nine Mile PT RD
- Penfield, NY 14526-1753
Phone: (585) 922-0460
Specialties
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1306814660
- Entity Type
- Individual
- Last Name
- Katlic
- First Name
- Kerry
- Middle Name
- L
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 2067 Fairport Nine Mile PT RD
- Mailing City
- Penfield
- Mailing State
- NY
- Mailing ZIP Code
- 14526-1753
- Mailing Country
- US
- Mailing Phone
- (585) 922-0460
- Mailing Fax
- (585) 922-0470
- Practice Street Address
- 2067 Fairport Nine Mile PT RD
- Practice City
- Penfield
- Practice State
- NY
- Practice ZIP Code
- 14526-1753
- Practice Country
- US
- Practice Phone
- (585) 922-0460
- Practice Fax
- (585) 922-0470
- Enumeration Date
- March 10, 2006
- Last Updated
- May 12, 2011
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X)
- Other Identifiers
- 00762047 (NY)