Individual
KATHRYN WIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
701 SENECA ST STE 646C, BUFFALO, NY 14210-1351
(716) 995-4450
Mailing address
3332 WALDEN AVE, STE 110, DEPEW, NY 14043-2400
(716) 668-7051
(716) 668-7069
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0178761
NY
Other
Enumeration date
09/18/2014
Last updated
07/20/2020
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