Provider Demographics
NPI:1972256022
Name:KUSTER, KATHERINE (RN)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:
Last Name:KUSTER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 E HAZELTINE AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14217-2801
Mailing Address - Country:US
Mailing Address - Phone:716-322-9280
Mailing Address - Fax:
Practice Address - Street 1:123 E HAZELTINE AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14217-2801
Practice Address - Country:US
Practice Address - Phone:716-322-9280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-29
Last Update Date:2022-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY663185163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health