National Provider Identifier
Katherine Gabrielle Rodriguez
Katherine Gabrielle Rodriguez is listed in the NPPES registry with a primary specialty of Physician Assistant in Kenmore, NY and a listed phone number of (716) 839-8000.
Profile Overview
- NPI
- 1619444825
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- October 25, 2018
- Last Updated
- April 21, 2025
Practice Location
- 2780 Delaware Ave Ste 201
- Kenmore, NY 14217-2748
Phone: (716) 839-8000
Mailing Address
- 30 N Union RD
- Ste 102
- Williamsville, NY 14221-5367
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1619444825
- Entity Type
- Individual
- Last Name
- Rodriguez
- First Name
- Katherine
- Middle Name
- Gabrielle
- Mailing Street Address
- 30 N Union RD
- Mailing Address Line 2
- Ste 102
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5367
- Mailing Country
- US
- Mailing Phone
- (716) 839-8000
- Practice Street Address
- 2780 Delaware Ave Ste 201
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-2748
- Practice Country
- US
- Practice Phone
- (716) 839-8000
- Practice Fax
- (716) 839-8009
- Enumeration Date
- October 25, 2018
- Last Updated
- April 21, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- April 21, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)