National Provider Identifier
Kathryn M Knisely, PA
Kathryn M Knisely, PA is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Williamsville, NY and a listed phone number of (716) 204-1101.
Profile Overview
- NPI
- 1669484440
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- August 12, 2006
- Last Updated
- December 17, 2013
Practice Location
- 192 Park Club Lane Suite 100
- Williamsville, NY 14221
Phone: (716) 204-1101
Specialties
- Surgical Physician Assistant (363AS0400X)
Full Record
- NPI
- 1669484440
- Entity Type
- Individual
- Last Name
- Knisely
- First Name
- Kathryn
- Middle Name
- M
- Name Prefix
- MS.
- Credential
- PA
- Provider Other Last Name
- Prem
- Provider Other First Name
- Kathryn
- Provider Other Middle Name
- M
- Provider Other Credential Text
- PA
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 192 Park Club Lane Suite 100
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221
- Mailing Country
- US
- Mailing Phone
- (716) 204-1101
- Mailing Fax
- (716) 204-0914
- Practice Street Address
- 192 Park Club Lane Suite 100
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221
- Practice Country
- US
- Practice Phone
- (716) 204-1101
- Practice Fax
- (716) 204-0914
- Enumeration Date
- August 12, 2006
- Last Updated
- December 17, 2013
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Physician Assistant (363AS0400X)