Kenneth E Mathis, RPA
Kenneth E Mathis, RPA is a Physician Assistant in Waterloo, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2006
Practice location Address checks out
367 E Main StWaterloo, NY 13165-1643
Phone: (315) 787-4977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 003372 (NY) |
|---|
Record details
| NPI number | 1518053719 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | RPA |
| Sole proprietor | Yes |
| NPI enumerated | October 5, 2006 |
| Last updated in NPPES | October 5, 2007 |
| Mailing address | 196 North St, Geneva, NY 14456-1651 |