Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 262407 | NY |
NPI | 1093789562 |
---|---|
Provider Name | Dr. Liise Kristina Kayler |
First Address | North Tonawanda, NY 14120-2019 |
Second Address | Buffalo, NY 14215-3021 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2006 |
Last Update Date | 17/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001899075 | (05) | PA |
H34355 | (02) | PA |