Kellie E Heftka in West Seneca - Physician Assistant
Kellie E Heftka - NPI 1740381946
Kellie E Heftka is a Physician Assistant in West Seneca, New York. Kellie E Heftka practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kellie E Heftka is 1740381946. The last update date is 2009-07-09.
Kellie E Heftka's current location address is 120 Gardenville Pkwy W, West Seneca, New York. You can contact this provider via phone number 7168576150 and fax number 7166564074. The mailing address for Kellie E Heftka is 120 Gardenville Pkwy W, West Seneca, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kellie E Heftka |
|---|---|
| Address | 120 Gardenville Pkwy W, West Seneca, New York |
| Phone Number | 7168576150 |
| Fax Number | 7166564074 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1740381946 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2009-07-09 |
Provider Mailing Address Detail
| Address | 120 Gardenville Pkwy W |
|---|---|
| City | West Seneca |
| State | New York (NY) |
| Post Code | 142241324 |
| Phone Number | 7168576150 |
| Fax Number | 7166564074 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 11382 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 190433DL | NY | PREFERRED CARE # | |
| 528804001 | NY | HEALTH NOW BCBS # | |
| 70111000100 | NY | FIDELIS CARE # AU | |
| 70111000099 | NY | FIDELIS CARE # SD | |
| 9514067 | NY | IHA # |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kellie E Heftka by the Centers for Medicare & Medicaid Services?
The Kellie E Heftka has been assigned the NPI (National Provider Identifier) 1740381946 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Kellie E Heftka is physically located?
The Kellie E Heftka is physically situated at the following address: 120 Gardenville Pkwy W, West Seneca, NY, 142241324.
What is the Kellie E Heftka's area of specialization and corresponding taxonomy classification?
The Kellie E Heftka's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1740381946 to Kellie E Heftka?
The Kellie E Heftka received its 1740381946 assignment from the Centers for Medicare & Medicaid Services on 2006-09-26.
When was the information pertaining to Kellie E Heftka most recently updated or revised?
The details related to Kellie E Heftka, including its address, specialty, and other relevant information, were last updated or revised on 2009-07-09.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY