National Provider Identifier

Kathryn Ann Fahey

Kathryn Ann Fahey is listed in the NPPES registry with a primary specialty of Specialist in Amherst, NY and a listed phone number of (716) 725-8377.

NPI 1790101632Amherst, NYSpecialist

Profile Overview

NPI
1790101632
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
March 17, 2014
Last Updated
March 17, 2014

Practice Location

  • 107 Hamilton Drive
  • Amherst, NY 14226

Phone: (716) 725-8377

Specialties

  • Specialist (174400000X)
Full Record
NPI
1790101632
Entity Type
Individual
Last Name
Fahey
First Name
Kathryn
Middle Name
Ann
Name Prefix
Mrs.
Provider Other Last Name
Gaughan
Provider Other First Name
Kathryn
Provider Other Middle Name
Ann
Provider Other Last Name Type Code
2
Mailing Street Address
107 Hamilton Drive
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14226
Mailing Country
US
Mailing Phone
(716) 725-8377
Practice Street Address
107 Hamilton Drive
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14226
Practice Country
US
Practice Phone
(716) 725-8377
Enumeration Date
March 17, 2014
Last Updated
March 17, 2014
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)