Provider Demographics
NPI:1417238791
Name:NIEMIEC-KLIMEK, KATELYN M (DC)
Entity Type:Individual
Prefix:DR
First Name:KATELYN
Middle Name:M
Last Name:NIEMIEC-KLIMEK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2140 EGGERT ROAD
Mailing Address - Street 2:SUITE B
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226
Mailing Address - Country:US
Mailing Address - Phone:716-832-1818
Mailing Address - Fax:716-832-7815
Practice Address - Street 1:2140 EGGERT ROAD
Practice Address - Street 2:SUITE B
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226
Practice Address - Country:US
Practice Address - Phone:716-832-1818
Practice Address - Fax:716-832-7815
Is Sole Proprietor?:No
Enumeration Date:2011-08-31
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX012069-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor