National Provider Identifier
Casey J Krug, PA-C
Casey J Krug, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 859-5600.
Profile Overview
- NPI
- 1922565050
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- February 25, 2019
- Last Updated
- February 27, 2019
Practice Location
- 100 High St
- Buffalo, NY 14203-1126
Phone: (716) 859-5600
Mailing Address
- 462 Grider St
- Buffalo, NY 14215-3021
Specialties
- Physician Assistant (363A00000X)
- Emergency Medicine Physician (207P00000X)
Full Record
- NPI
- 1922565050
- Entity Type
- Individual
- Last Name
- Krug
- First Name
- Casey
- Middle Name
- J
- Credential
- PA-C
- Mailing Street Address
- 462 Grider St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-3021
- Mailing Country
- US
- Practice Street Address
- 100 High St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1126
- Practice Country
- US
- Practice Phone
- (716) 859-5600
- Enumeration Date
- February 25, 2019
- Last Updated
- February 27, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Emergency Medicine Physician (207P00000X)