National Provider Identifier
Wendy Kathleen Kloczkowski - Panetta, OTRL
Wendy Kathleen Kloczkowski - Panetta, OTRL is listed in the NPPES registry with a primary specialty of Specialist in Geneva, NY and a listed phone number of (315) 789-5538.
Profile Overview
- NPI
- 1558577015
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- May 14, 2007
- Last Updated
- July 08, 2007
Practice Location
- 154 Nursery Ave
- Geneva, NY 14456-2559
Phone: (315) 789-5538
Mailing Address
- 154 Nursery Avenue
- Geneva, NY 14456-2339
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1558577015
- Entity Type
- Individual
- Last Name
- Kloczkowski - Panetta
- First Name
- Wendy
- Middle Name
- Kathleen
- Name Prefix
- Mrs.
- Credential
- OTRL
- Mailing Street Address
- 154 Nursery Avenue
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456-2339
- Mailing Country
- US
- Mailing Phone
- (315) 789-5538
- Practice Street Address
- 154 Nursery Ave
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456-2559
- Practice Country
- US
- Practice Phone
- (315) 789-5538
- Enumeration Date
- May 14, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)