Individual
KAITLYN MARIE LIPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 HIGH ST, BUFFALO, NY 14203-1126
(716) 859-3317
Mailing address
2998 CLOVERBANK RD, HAMBURG, NY 14075-3432
(716) 713-9734
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
NY
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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