National Provider Identifier

Jackie A Kwok

Jackie A Kwok is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Amherst, NY and a listed phone number of (800) 462-7652.

NPI 1417814286Amherst, NYSurgical Physician Assistant

Profile Overview

NPI
1417814286
Provider Type
Individual
Primary Specialty
Surgical Physician Assistant
Enumeration Date
January 05, 2026
Last Updated
January 05, 2026

Practice Location

  • 4380 Main St
  • Amherst, NY 14226-3544

Phone: (800) 462-7652

Specialties

  • Surgical Physician Assistant (363AS0400X)
Full Record
NPI
1417814286
Entity Type
Individual
Last Name
Kwok
First Name
Jackie
Middle Name
A
Mailing Street Address
4380 Main St
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14226-3544
Mailing Country
US
Practice Street Address
4380 Main St
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14226-3544
Practice Country
US
Practice Phone
(800) 462-7652
Enumeration Date
January 05, 2026
Last Updated
January 05, 2026
Sex
Male
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
January 05, 2026
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Surgical Physician Assistant (363AS0400X)