National Provider Identifier

Kimberly Faith Fedkiw, FNP, ANP

Kimberly Faith Fedkiw, FNP, ANP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Williamsville, NY and a listed phone number of (716) 204-0798.

NPI 1447289236Williamsville, NYFamily Nurse Practitioner

Profile Overview

NPI
1447289236
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
July 02, 2006
Last Updated
September 23, 2020

Practice Location

  • 4267 Transit RD
  • Williamsville, NY 14221-7205

Phone: (716) 204-0798

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1447289236
Entity Type
Individual
Last Name
Fedkiw
First Name
Kimberly
Middle Name
Faith
Credential
FNP, ANP
Mailing Street Address
4267 Transit RD
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-7205
Mailing Country
US
Mailing Phone
(716) 204-0798
Mailing Fax
(716) 632-2457
Practice Street Address
4267 Transit RD
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-7205
Practice Country
US
Practice Phone
(716) 204-0798
Practice Fax
(716) 632-2457
Enumeration Date
July 02, 2006
Last Updated
September 23, 2020
Sex
Female
Sole Proprietor
No
Certification Date
September 23, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)
Other Identifiers
02672984 (NY), 00060970004 (NY, Blue Cross/Blue Shiel), 00027261403 (NY, Univera), F333039-1 (NY, License)