Individual
KIRSTEN BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
117 FOOTE AVE, JAMESTOWN, NY 14701-6947
(716) 338-9200
(716) 338-9250
Mailing address
117 FOOTE AVE, JAMESTOWN, NY 14701-6947
(716) 338-9200
(716) 338-9250
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
007976
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2141633
—
NY
Enumeration date
06/14/2006
Last updated
03/13/2018
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