National Provider Identifier

Katherine Pauline De Boer, RPA-C

Katherine Pauline De Boer, RPA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 845-2300.

NPI 1720300775Buffalo, NYPhysician Assistant

Profile Overview

NPI
1720300775
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
February 18, 2010
Last Updated
November 10, 2011

Practice Location

  • Elm And Carlton St
  • Buffalo, NY 14263-0001

Phone: (716) 845-2300

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1720300775
Entity Type
Individual
Last Name
De Boer
First Name
Katherine
Middle Name
Pauline
Credential
RPA-C
Provider Other Last Name
Sciurko
Provider Other First Name
Katherine
Provider Other Middle Name
Pauline
Provider Other Last Name Type Code
1
Mailing Street Address
Elm And Carlton St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14263-0001
Mailing Country
US
Mailing Phone
(716) 845-2300
Mailing Fax
(716) 845-8980
Practice Street Address
Elm And Carlton St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14263-0001
Practice Country
US
Practice Phone
(716) 845-2300
Practice Fax
(716) 845-8980
Enumeration Date
February 18, 2010
Last Updated
November 10, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)