National Provider Identifier
Kyle William Brandt, PA-C
Kyle William Brandt, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 723-7000.
Profile Overview
- NPI
- 1902233935
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- October 04, 2013
- Last Updated
- April 07, 2021
Practice Location
- 1555 Long Pond RD
- Emergency Center
- Rochester, NY 14626-4122
Phone: (585) 723-7000
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1902233935
- Entity Type
- Individual
- Last Name
- Brandt
- First Name
- Kyle
- Middle Name
- William
- Credential
- PA-C
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 723-7000
- Practice Street Address
- 1555 Long Pond RD
- Practice Address Line 2
- Emergency Center
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4122
- Practice Country
- US
- Practice Phone
- (585) 723-7000
- Enumeration Date
- October 04, 2013
- Last Updated
- April 07, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 07, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)
- Other Identifiers
- 03743524 (NY)