Kelly A Wittenbrook (NPI# 1073868519, PAC ID# 2163674722) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1073868519 |
| PAC ID by PECOS | 2163674722 |
| Professional Enrollment ID | I20121205000030 |
| Full Name | Kelly A Wittenbrook |
| Organization Legal Name | CHAUTAUQUA HOSPICE AND PALLIATIVE CARE |
| Address |
20 W Fairmount Ave Lakewood NY 14750-1702 |
| Phone Number | 7163380033 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4981753720 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 20 W Fairmount Ave, Lakewood, NY 14750-1702 | 7163380033 | CHAUTAUQUA HOSPICE AND PALLIATIVE CARE |
| Organization Legal Name | CHAUTAUQUA HOSPICE AND PALLIATIVE CARE |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas A Putnam | Hospice/palliative Care | Chautauqua Hospice and Palliative Care | 20 W Fairmount Ave, Lakewood, NY 14750-1702 |
| Street Address |
20 W FAIRMOUNT AVE |
| City | LAKEWOOD |
| State | NY |
| Zip | 14750-1702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas A Putnam | Hospice/palliative Care | Chautauqua Hospice and Palliative Care | 20 W Fairmount Ave, Lakewood, NY 14750-1702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Walter H Warriner | Nurse Practitioner | Jamestown Psychiatric PC | 305 E Fairmount Ave, Unit 7, Lakewood, NY 14750-2000 |
| Kyle A Wiktor | Nurse Practitioner | Jamestown Psychiatric PC | 305 E Fairmount Ave, Unit 7, Lakewood, NY 14750-2000 |
| Israr A Abbasi | Psychiatry | Jamestown Psychiatric PC | 305 E Fairmount Ave, Unit 7, Lakewood, NY 14750-2000 |
| Gust P Verleni | Physician Assistant | Jamestown Psychiatric PC | 305 E Fairmount Ave, Unit 7, Lakewood, NY 14750-2000 |
| Shahnawaz Meer | Psychiatry | Jamestown Psychiatric PC | 305 E Fairmount Ave, Unit 7, Lakewood, NY 14750-2000 |
| Frederick W Verdonik | Psychologist, Clinical | Jamestown Psychiatric PC | 305 E Fairmount Ave, Unit 7, Lakewood, NY 14750-2000 |
| City | LAKEWOOD |
| Zip Code | 14750 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAKEWOOD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kelly A Wittenbrook.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.