Individual
KATHERINE LEE WALCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3900 N BUFFALO ST, ORCHARD PARK, NY 14127-1842
(716) 656-4804
Mailing address
9639 VERMONT HILL RD, HOLLAND, NY 14080-9758
(716) 479-9207
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
78800601
NY
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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