Kirk, Allyson Laetita

Kirk, Allyson Laetita is an individual health care provider with primary practice located at 500 Corporate Pkwy Suite 100, Amherst NY 14226-1263. 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. Kirk, Allyson Laetita can be contacted via phone (716) 631-0380.

Contact Information

Primary practice address
500 Corporate Pkwy Suite 100 Amherst NY 14226-1263
Phone: (716) 631-0380
Fax: (716) 631-3229
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 006458-1 New York

Profile Details

NPI number 1407852973
LBN Legal business name Kirk, Allyson Laetita
Credentials RPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Jun 7th, 2012 - about 12 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 1407852973 NPPES
New York MEDICAID 02504929

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