National Provider Identifier

Kevin Krautsak, M.D.

Kevin Krautsak, M.D. is listed in the NPPES registry with a primary specialty of Colon & Rectal Surgery Physician in Williamsville, NY and a listed phone number of (716) 656-4460.

NPI 1871903930Williamsville, NYColon & Rectal Surgery Physician

Profile Overview

NPI
1871903930
Provider Type
Individual
Primary Specialty
Colon & Rectal Surgery Physician
Enumeration Date
April 29, 2014
Last Updated
April 05, 2021

Practice Location

  • 325 Essjay RD
  • Williamsville, NY 14221-8243

Phone: (716) 656-4460

Mailing Address

  • 425 Essjay RD Ste 170
  • Williamsville, NY 14221-8235

Specialties

  • Colon & Rectal Surgery Physician (208C00000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1871903930
Entity Type
Individual
Last Name
Krautsak
First Name
Kevin
Credential
M.D.
Mailing Street Address
425 Essjay RD Ste 170
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-8235
Mailing Country
US
Mailing Phone
(716) 630-1219
Practice Street Address
325 Essjay RD
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-8243
Practice Country
US
Practice Phone
(716) 656-4460
Enumeration Date
April 29, 2014
Last Updated
April 05, 2021
Sex
Male
Sole Proprietor
No
Certification Date
April 05, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Colon & Rectal Surgery Physician (208C00000X), Student in an Organized Health Care Education/Training Program (390200000X)