Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Kathryn M Knisely, PA

Individual provider Surgical Physician Assistant · NPI 1669484440

MS. Kathryn M Knisely, PA is a Physician Assistant in Williamsville, New York. Qualified in 2004, 22 years ago. Practices with Excelsior Orthopaedics LLP, a 146-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
22
Licensed in
NY
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

192 Park Club Ln Ste 100
Williamsville, NY 14221
Phone: (716) 204-1101
Fax: (716) 204-0914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 010007 (NY)

Record details

NPI number1669484440
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 12, 2006
Last updated in NPPESDecember 17, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Excelsior Orthopaedics Llp — 146 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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