National Provider Identifier
Timothy Kersey, PA
Timothy Kersey, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Webster, NY and a listed phone number of (585) 760-4544.
Profile Overview
- NPI
- 1518573716
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- September 22, 2020
- Last Updated
- September 22, 2020
Practice Location
- 511 Giving Tree Ln
- Webster, NY 14580-4095
Phone: (585) 760-4544
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1518573716
- Entity Type
- Individual
- Last Name
- Kersey
- First Name
- Timothy
- Credential
- PA
- Mailing Street Address
- 511 Giving Tree Ln
- Mailing City
- Webster
- Mailing State
- NY
- Mailing ZIP Code
- 14580-4095
- Mailing Country
- US
- Mailing Phone
- (585) 760-4544
- Practice Street Address
- 511 Giving Tree Ln
- Practice City
- Webster
- Practice State
- NY
- Practice ZIP Code
- 14580-4095
- Practice Country
- US
- Practice Phone
- (585) 760-4544
- Enumeration Date
- September 22, 2020
- Last Updated
- September 22, 2020
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- September 22, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 1155326 (NY, Need An NPI Number For A Job I Am Applying For And Unsure Of Who Is The Issuer)