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NPI Code Detail

MEDICARE: KARA ANNE WOODS RPA-C

MEDICARE:   KARA ANNE WOODS  RPA-C
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 Assistant009025-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000560898002OTHERNYBC/BS
20810090000010OTHERNYFIDELIS CARE
39512684OTHERNYINDEPENDENT HEALTH

General Provider Information

NPI Number : 1831195395
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARA ANNE WOODS RPA-C
Provider Business Mailing Address
First Line : 908 NIAGARA FALLS BLVD STE 208
Second Line :
City : NORTH TONAWANDA
State : NY
Zip : 14120-2019
Country : US
Telephone Number : 716-692-3302
Fax Number : 716-692-4342
Provider Business Practice Location Address
First Line : 462 GRIDER ST
Second Line :
City : BUFFALO
State : NY
Zip : 14215-3098
Country : US
Telephone Number : 716-898-4119
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 04/26/2018

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Directions to “ KARA ANNE WOODS RPA-C” Practice Location

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