National Provider Identifier

Jennifer M Kielbasa, RPA C

Jennifer M Kielbasa, RPA C is listed in the NPPES registry with a primary specialty of Physician Assistant in Williamsville, NY and a listed phone number of (716) 634-5100.

NPI 1942283031Williamsville, NYPhysician Assistant

Profile Overview

NPI
1942283031
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
November 22, 2005
Last Updated
June 17, 2016

Practice Location

  • 6460 Main St
  • Buffalo Cardiology And Pulmonary Assoc PC
  • Williamsville, NY 14221-5838

Phone: (716) 634-5100

Mailing Address

  • 6255 Sheridan Dr
  • Ste 108
  • Williamsville, NY 14221-4825

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1942283031
Entity Type
Individual
Last Name
Kielbasa
First Name
Jennifer
Middle Name
M
Credential
RPA C
Mailing Street Address
6255 Sheridan Dr
Mailing Address Line 2
Ste 108
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-4825
Mailing Country
US
Mailing Phone
(716) 630-1219
Mailing Fax
(716) 817-1726
Practice Street Address
6460 Main St
Practice Address Line 2
Buffalo Cardiology And Pulmonary Assoc PC
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-5838
Practice Country
US
Practice Phone
(716) 634-5100
Practice Fax
(716) 634-5134
Enumeration Date
November 22, 2005
Last Updated
June 17, 2016
Sex
Female
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)
Other Identifiers
9512321 (NY, Indep Health), 000570275001 (NY, Blue Cross Comm Blue), 00027046701 (NY, Univera)