National Provider Identifier
Stephen John Kingston II, PA-C
Stephen John Kingston II, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Romulus, NY and a listed phone number of (607) 869-5111.
Profile Overview
- NPI
- 1316064124
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- March 25, 2007
- Last Updated
- July 09, 2007
Practice Location
- Route 96
- Romulus, NY 14541-0400
Phone: (607) 869-5111
Mailing Address
- 1730 Penfield RD
- Apt 85
- Penfield, NY 14526-2148
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1316064124
- Entity Type
- Individual
- Last Name
- Kingston
- First Name
- Stephen
- Middle Name
- John
- Name Prefix
- Mr.
- Name Suffix
- II
- Credential
- PA-C
- Mailing Street Address
- 1730 Penfield RD
- Mailing Address Line 2
- Apt 85
- Mailing City
- Penfield
- Mailing State
- NY
- Mailing ZIP Code
- 14526-2148
- Mailing Country
- US
- Mailing Phone
- (585) 264-1454
- Practice Street Address
- Route 96
- Practice City
- Romulus
- Practice State
- NY
- Practice ZIP Code
- 14541-0400
- Practice Country
- US
- Practice Phone
- (607) 869-5111
- Enumeration Date
- March 25, 2007
- Last Updated
- July 09, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)