Kailee Spusta
Physician Assistant, Medical in Rochester, NY. Individual provider (NPI-1).
NPI number1801264643
StatusActive
Last updated in NPPESJun 29, 2023
Details
- NPI
- 1801264643
- Entity type
- Individual (NPI-1)
- Name
- Kailee Spusta
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 10, 2015
- Last updated
- Jun 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | – | – | Yes |
| 363AM0700X | Physician Assistant, Medical | 19176 | NY |
Practice location
4901 Lac De Ville BlvdRochester, NY 14618-5647
Phone 585-341-9150
Mailing address
601 Elmwood AveBox 665
Rochester, NY 14642-5647
Phone 585-275-1395
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