Individual
KATHLEEN E BETHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 MAIN ST, BUFFALO, NY 14203-1009
(716) 323-0170
(716) 323-0297
Mailing address
1001 MAIN ST FL 5, BUFFALO, NY 14203-1009
(716) 323-0300
(716) 323-0599
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
247225
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00028296201
UNIVERA
—
01
—
000529418001
BD/BS
—
01
—
0194393
GHI
—
05
—
02937924
—
NY
01
—
080219000084
FIDELIS
—
01
—
1214441
IHA
—
Enumeration date
08/21/2006
Last updated
02/18/2023
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