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NPI Code Detail

MEDICARE: MORGAN ELIZABETH KILCULLEN P.A.

MEDICARE: MORGAN ELIZABETH KILCULLEN P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant018831NY

General Provider Information

NPI Number : 1578949467
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN ELIZABETH KILCULLEN P.A.
Provider Business Mailing Address
First Line : 43 WILTON PKWY
Second Line :
City : BUFFALO
State : NY
Zip : 14223-2760
Country : US
Telephone Number : 716-799-5627
Fax Number :
Provider Business Practice Location Address
First Line : 2157 MAIN ST
Second Line :
City : BUFFALO
State : NY
Zip : 14214-2692
Country : US
Telephone Number : 716-862-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2015
Last Update Date : 12/23/2020

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