Provider Demographics
NPI:1801538939
Name:WILKIE, KATHERINE ANN (BMBS (MD EQUIVALENT))
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:ANN
Last Name:WILKIE
Suffix:
Gender:F
Credentials:BMBS (MD EQUIVALENT)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ECMC FAMILY HEALTH
Mailing Address - Street 2:462 GRIDER STREET
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14215
Mailing Address - Country:US
Mailing Address - Phone:716-831-8612
Mailing Address - Fax:
Practice Address - Street 1:ECMC FAMILY HEALTH
Practice Address - Street 2:462 GRIDER STREET
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215
Practice Address - Country:US
Practice Address - Phone:716-831-8612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-09
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program