KATHRYN MAUREEN GODSHALK PA NPI 1437534294

NPI Information

Kathryn Maureen Godshalk, PA is a medical physician assistant in Rochester, NY. Kathryn Maureen Godshalk, PA NPI is 1437534294. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1561 LONG POND RD
SUITE 303
ROCHESTER, NY
ZIP 14626-117
Phone: (585) 368-6500
Fax: (585) 368-6501

The NPI 1437534294 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/22/2015 and was last updated on 12/18/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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