National Provider Identifier
Kathleen Louise Wania, MD
Kathleen Louise Wania, MD is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Rochester, NY and a listed phone number of (585) 504-6504.
Profile Overview
- NPI
- 1356583553
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- April 02, 2009
- Last Updated
- April 23, 2021
Practice Location
- 3208 Latta RD Ste 1
- Rochester, NY 14612-3084
Phone: (585) 504-6504
Mailing Address
- 203 Sackets Lndg
- Rochester, NY 14612-1482
Specialties
- Pediatrics Physician (208000000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1356583553
- Entity Type
- Individual
- Last Name
- Wania
- First Name
- Kathleen
- Middle Name
- Louise
- Credential
- MD
- Mailing Street Address
- 203 Sackets Lndg
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14612-1482
- Mailing Country
- US
- Mailing Phone
- (716) 861-8081
- Mailing Fax
- (585) 504-4923
- Practice Street Address
- 3208 Latta RD Ste 1
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14612-3084
- Practice Country
- US
- Practice Phone
- (585) 504-6504
- Practice Fax
- (585) 504-4923
- Enumeration Date
- April 02, 2009
- Last Updated
- April 23, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 23, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X), Student in an Organized Health Care Education/Training Program (390200000X)