National Provider Identifier

Kathleen B Struckmann, EDM.

Kathleen B Struckmann, EDM. is listed in the NPPES registry with a primary specialty of Specialist in Kenmore, NY and a listed phone number of (716) 871-9883.

NPI 1326321092Kenmore, NYSpecialist

Profile Overview

NPI
1326321092
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
September 20, 2011
Last Updated
September 20, 2011

Practice Location

  • 2900 Delaware Ave
  • Kenmore, NY 14217-2309

Phone: (716) 871-9883

Mailing Address

  • 80 Wardman RD
  • Kenmore, NY 14217-2728

Specialties

  • Specialist (174400000X)
Full Record
NPI
1326321092
Entity Type
Individual
Last Name
Struckmann
First Name
Kathleen
Middle Name
B
Credential
EDM.
Provider Other Last Name
Frawley
Provider Other First Name
Kathleen
Provider Other Middle Name
B
Provider Other Credential Text
EDM.
Provider Other Last Name Type Code
1
Mailing Street Address
80 Wardman RD
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-2728
Mailing Country
US
Mailing Phone
(716) 876-5738
Practice Street Address
2900 Delaware Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-2309
Practice Country
US
Practice Phone
(716) 871-9883
Enumeration Date
September 20, 2011
Last Updated
September 20, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)