National Provider Identifier
Kellie E Heftka, PA
Kellie E Heftka, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in West Seneca, NY and a listed phone number of (716) 668-3600.
Profile Overview
- NPI
- 1740381946
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- September 26, 2006
- Last Updated
- July 09, 2009
Practice Location
- 120 Gardenville Pkwy W
- West Seneca, NY 14224-1324
Phone: (716) 668-3600
Mailing Address
- 120 Gardenville Pkwy W
- Attn: Betty Piccillo
- West Seneca, NY 14224-1324
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1740381946
- Entity Type
- Individual
- Last Name
- Heftka
- First Name
- Kellie
- Middle Name
- E
- Credential
- PA
- Provider Other Last Name
- Krawczyk
- Provider Other First Name
- Kellie
- Provider Other Middle Name
- E
- Provider Other Credential Text
- PA
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 120 Gardenville Pkwy W
- Mailing Address Line 2
- Attn: Betty Piccillo
- Mailing City
- West Seneca
- Mailing State
- NY
- Mailing ZIP Code
- 14224-1324
- Mailing Country
- US
- Mailing Phone
- (716) 857-6150
- Mailing Fax
- (716) 656-4074
- Practice Street Address
- 120 Gardenville Pkwy W
- Practice City
- West Seneca
- Practice State
- NY
- Practice ZIP Code
- 14224-1324
- Practice Country
- US
- Practice Phone
- (716) 668-3600
- Practice Fax
- (716) 656-4274
- Enumeration Date
- September 26, 2006
- Last Updated
- July 09, 2009
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 190433DL (NY, Preferred Care #), 000528804001 (NY, Health Now BCBS #), 070111000100 (NY, Fidelis Care # Au), 070111000099 (NY, Fidelis Care # Sd), 9514067 (NY, Iha #)