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Individual

ALLYSON LAETITA KIRK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPA-C

Contact information

Practice address
500 CORPORATE PKWY, SUITE 100, AMHERST, NY 14226-1263
(716) 631-0380
(716) 631-3229
Mailing address
500 CORPORATE PKWY, SUITE 100, AMHERST, NY 14226-1263
(716) 631-0380
(716) 631-3229

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006458-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02504929
NY
Enumeration date
06/21/2005
Last updated
06/07/2012
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