National Provider Identifier
Kevin Middleton
Kevin Middleton is listed in the NPPES registry with a primary specialty of Physician Assistant in Penn Yan, NY and a listed phone number of (315) 536-3362.
Profile Overview
- NPI
- 1659181402
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- January 13, 2025
- Last Updated
- February 21, 2025
Practice Location
- 207 Lake St
- Penn Yan, NY 14527-1802
Phone: (315) 536-3362
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1659181402
- Entity Type
- Individual
- Last Name
- Middleton
- First Name
- Kevin
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Practice Street Address
- 207 Lake St
- Practice City
- Penn Yan
- Practice State
- NY
- Practice ZIP Code
- 14527-1802
- Practice Country
- US
- Practice Phone
- (315) 536-3362
- Enumeration Date
- January 13, 2025
- Last Updated
- February 21, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- February 21, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)