Individual
SHANNON KAEMPFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
111 LODER ST, HORNELL, NY 14843-1950
(315) 412-1117
Mailing address
300 RESIDENCE WAY APT 305, HORNELL, NY 14843-9190
(315) 412-1117
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
024233
NY
363AM0700X
Medical Physician Assistant
Primary
024233
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/27/2019
Last updated
07/09/2025
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