| Doctor Name: | KATHLEEN SPETA |
| NPI Number: | 1083970529 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | F3370711 |
| Business Practice Address: | 15 Loder St 191 North Main Street Wellsville, NY - 148951112 |
| Business Phone Number: | 5855964129 |
| Business Fax Number: | 5855960653 |
| Mailing Address: | 256 Center Rd, WEST SENECA |
| State: | NY |
| Postal Code: | 142241947 |
| Phone Number: | 7166774159 |
| Fax Number: | 7166774470 |
| NPI Enumeration Date: | 04/10/2012 |
| NPI Last Update Date: | 11/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | F3370711 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |