Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katherine Rae Nettles, PA-C

Individual provider Medical Physician Assistant · NPI 1215413521

Katherine Rae Nettles, PA-C is a Medical Physician Assistant in Rochester, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1000 S Ave
Rochester, NY 14620-2782
Phone: (585) 473-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 535 Willowbrook Office Park, Fairport, NY 14450-4202 — (585) 586-0790

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 022924 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 22924 (NY)

Record details

NPI number1215413521
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 19, 2018
Last updated in NPPESApril 11, 2024
Certification dateApril 11, 2024

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