Individual
KATHRYN GILLIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
ELM AND CARLTON STREETS, BUFFALO, NY 14263-0001
(716) 845-2300
Mailing address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 845-2300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
308802
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
308802
LICENSE
NY
Enumeration date
08/21/2018
Last updated
01/12/2021
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