National Provider Identifier

Katie Miller, PA

Katie Miller, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Williamsville, NY and a listed phone number of (716) 636-7979.

NPI 1417103011Williamsville, NYPhysician Assistant

Profile Overview

NPI
1417103011
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
August 14, 2008
Last Updated
August 14, 2008

Practice Location

  • 1150 Youngs RD
  • Suite 104
  • Williamsville, NY 14221-8053

Phone: (716) 636-7979

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1417103011
Entity Type
Individual
Last Name
Miller
First Name
Katie
Name Prefix
MS.
Credential
PA
Mailing Street Address
1150 Youngs RD
Mailing Address Line 2
Suite 104
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-8053
Mailing Country
US
Mailing Phone
(716) 636-7979
Mailing Fax
(716) 636-7993
Practice Street Address
1150 Youngs RD
Practice Address Line 2
Suite 104
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-8053
Practice Country
US
Practice Phone
(716) 636-7979
Practice Fax
(716) 636-7993
Enumeration Date
August 14, 2008
Last Updated
August 14, 2008
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)