Heftka, Kellie E

Heftka, Kellie E is an individual health care provider with primary practice located at 120 Gardenville Pkwy W , West Seneca NY 14224-1324. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Heftka, Kellie E can be contacted via phone (716) 668-3600.

Contact Information

Primary practice address
120 Gardenville Pkwy W West Seneca NY 14224-1324
Phone: (716) 668-3600
Fax: (716) 656-4274
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 011382 New York

Profile Details

NPI number 1740381946
LBN Legal business name Heftka, Kellie E
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jul 9th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740381946 NPPES
New York Other 190433DL PREFERRED CARE #
New York Other 000528804001 PREFERRED CARE #
New York Other 070111000100 PREFERRED CARE #
New York Other 070111000099 PREFERRED CARE #
New York Other 9514067 PREFERRED CARE #

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