National Provider Identifier

Kerenza Anne Anderson, PA

Kerenza Anne Anderson, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Amherst, NY and a listed phone number of (646) 531-2576.

NPI 1790074011Amherst, NYMedical Physician Assistant

Profile Overview

NPI
1790074011
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
April 07, 2011
Last Updated
December 08, 2013

Practice Location

  • 4949 Harlem RD
  • Amherst, NY 14226-2500

Phone: (646) 531-2576

Specialties

  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1790074011
Entity Type
Individual
Last Name
Anderson
First Name
Kerenza
Middle Name
Anne
Credential
PA
Mailing Street Address
4949 Harlem RD
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14226-2500
Mailing Country
US
Practice Street Address
4949 Harlem RD
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14226-2500
Practice Country
US
Practice Phone
(646) 531-2576
Enumeration Date
April 07, 2011
Last Updated
December 08, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)