National Provider Identifier
Katelyn Anne Tivey, PA-C
Katelyn Anne Tivey, PA-C is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Rochester, NY and a listed phone number of (585) 736-3503.
Profile Overview
- NPI
- 1316464621
- Provider Type
- Individual
- Primary Specialty
- Emergency Medicine Physician
- Enumeration Date
- August 28, 2017
- Last Updated
- October 30, 2023
Practice Location
- 3648 Dewey Ave
- Rochester, NY 14616-3024
Phone: (585) 736-3503
Specialties
- Emergency Medicine Physician (207P00000X)
Full Record
- NPI
- 1316464621
- Entity Type
- Individual
- Last Name
- Tivey
- First Name
- Katelyn
- Middle Name
- Anne
- Credential
- PA-C
- Mailing Street Address
- 3648 Dewey Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14616-3024
- Mailing Country
- US
- Mailing Phone
- (585) 736-3503
- Practice Street Address
- 3648 Dewey Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14616-3024
- Practice Country
- US
- Practice Phone
- (585) 736-3503
- Enumeration Date
- August 28, 2017
- Last Updated
- October 30, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- October 30, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Emergency Medicine Physician (207P00000X)